Fee Assessment Questionnaire

It is essential that you complete all sections of this form otherwise it will not be possible
to assess your fee status and the questionnaire will be returned to you for full
completion.

Applicant Code
Family Name (Surname)
Other Name(s)

Your Country of Permanent Residence:

Your Country of Birth
Your Nationality (as indicated on your
passport/s) – if you have more than one
nationality state all that are relevant).

Is there anyone in your family who has EEA, Swiss or Turkish nationality?
(for example: parent, child/adopted child, spouse/civil partner, grandparent, civil
partner’s parent, etc)
Person’s name Nationality Relationship To You

Please provide details of the country or countries in which you have been resident for
at least the past six years. This information is very important so please ensure this
section is completed.
Country Date residence Main reason for residence
began (eg living with family, work, study)
(day/month/year)

Use this box to add any other relevant information (continue on a separate sheet if necessary):
After careful consideration of all the categories described in the evidence for completing fee status
questionnaire guidance document I believe that I fulfil all the requirements of (highlight or circle one
of the following):

Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Category 7
Category 8
Category 9
None of the above categories apply to me

I confirm that all of the information provided is complete and accurate.

I have attached all the necessary documentary proof required for the category I have
selected and understand that, without documentary proof, my Fee Assessment
Questionnaire cannot be processed and I will continue to be regarded as an overseas
student for fees.

I consent to the University of Hull checking any details of official UK documents that were issued by
the UK government (Passport/ Home Office letters/Passport Vignettes/ ID cards) with the Home
Office.

Applicant’s own signature: ________________________________ Date: _______________

The completed questionnaire and supporting documentation should be scanned to

admissions@hull.ac.uk

or posted to

Admissions Service, The University of Hull, Cottingham Road, Hull, HU6 7RX, UK

Updated December 2017