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Enrolment Form

Personal Details

Qualifications

Employment

Terms



Personal Details


Surname
First Forename
Known As Name
Title
Date Of Birth
Please check you have entered the correct year. If you are over the age of 19 you may be required to pay for your tuition fees, please contact enquiries@plumpton.ac.uk to confirm
Legal Gender
Telephone
Mobile
Personal Email

Main Address

Home Address
Address Line 2
Town
County
Number of years at current address

Nationality

Nationality
What is your Ethnicity
What is your country of Residence
Will you have lived continuously in the UK or EU for more than 3 years on the first day of your course?
 
Visa Type
Date of Entry into the UK (If non UK or EU resident)
What country did you arrive from?
Visa Expiry Date

Vehicle Details

For a parking permit, please fill in your vehicle details


Vehicle Colour
Vehicle Make
Vehicle Model
Vehicle Number plate

Parent/Guardian/Emergency Contacts

Primary Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone number
Emergency Contact Email Address
Do you live with this person?
Secondary Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone number
Emergency Contact Email Address
Do you live with this person?

Learner Support

Do you have any disabilities or learning difficulties?
 

Are you any of the following?

In care?
Young carer?
Young parent?
Care leaver?
Do you have an Education Health & Care Plan?
Are you eligible for Free school meals?
Describe best your household situation

If you can't find the course you want, or you have a query about a course, enrolment or payment please call 01273 890 454

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