Study intentions: London Metropolitan University non-European Economic Area (EEA) student/dependant details All non-EEA London Metropolitan

University students must complete all sections of this form and email the completed form to studentconfirmations@homeoffice.gsi.gov.uk by Wednesday 31 October 2012. Section 1 1) Please indicate your intentions by selecting one of the following three options (mark X in one box): I wish to continue on my current course of study with London Metropolitan University. (Do not tick this box if London Metropolitan University do not wish to enrol you.) Please now complete sections 2, 3 and 4. I have applied or will be applying to study with a different sponsor. Please now complete sections 2 , 3 and 4 I do not intend to continue studying in the UK and I have made or will make arrangements to leave the UK and I hereby withdraw any pending application for leave to remain. Please now complete sections 2 and 4 only Section 2 Personal details 1) Given name(s): (as shown in your passport)

2) Family name(s): (as shown in your passport)

DD

3) Date of birth: MM 4) Nationality:

YYYY

5) Full postal address:

6) Postcode:

7) Home telephone number:

8) Mobile telephone number:

9) Work telephone number:

10) Email address:

DD

11) Date current leave expires: MM YYYY 12) Current passport number:

13) Previous passport number:

14) Biometric Residence Permit number:

Section 3 Course of study 1) Course title and level of course (at London Metropolitan University or a partner institution):

DD

2) Course start date: MM YYYY

3) Course end date: DD MM YYYY 4) Student ID (the ID number issued by London Metropolitan University):

5) If you intend to move to a new educational establishment please provide details of the university or college sponsor below.

Section 4 - Signature I certify that the details I have provided are correct. Signature (type your name into the box below)

Todays date: DD MM

YYYY

The UK Border Agency may share these details with London Metropolitan University.