Confirmation of Acceptance for Studies (CAS) Letter Request Form

Please complete every field on this form correctly. The Student Admin team use this form to confirm all of
your details for your CAS statement. This CAS statement will be used in your Tier 4 (General) student visa
application and therefore all details must be correct to ensure your visa is assigned and you can continue your
studies. If you have any issues with this form please contact Student Admin on 0191 515 3154 or
studentadmin@sunderland.ac.uk

Address
Please add your full correspondence Address.

Your Personal Details

Family or Last Name:
This should be as it appears in your passport.
First Name(s):
This should be the same as the name on your passport.
Date of Birth:
Your date of birth should match your passport.
Nationality:
Please provide the country you come from.
Place of Birth:
This information should match your passport.
Passport Number:
Usually placed in the top right section of the information page of
your passport.
It is very important we have the correct passport
number for your CAS letter. Please answer the Yes No
following question carefully. The passport number
I have given above is for my current passport. I do Please also ensure that you send a copy of the
not intend to apply for a new passport before passport with the CAS Request Form, if you
submitting my visa application to the UKVI: haven’t already sent it to us.
University student number:
Your university student number on your student card and
conditional offer letter.
Course Details
Course Title:
The major you are applying to study.
Course Level:
This will be undergraduate or post-graduate.
NQF Level:
For UG study please add level 6. For PG study please add level 7.

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 Course Start Date:
The official start date of your major at the University of
Sunderland.
Main Place of Study:
The campus where you will be studying (i.e. Sunderland; London)
Money (Fees for this academic year)
Total amount of tuition fees paid to date:
How much money have you paid in total towards the tuition fees
of your major?
Total amount of accommodation fees paid to date:
How much money have you paid in total towards your
accommodation fees?
Documents used to get offer:
Description:
The qualification you are using for entry onto your major (i.e.
diploma, degree)
Subject:
The subject of your entry qualification above.
Grade:
The final grade of your qualification
Where obtained:
The school, college or university where you studied.
Date obtained:
The date you passed the course on your certificate or transcript.
English Language
English Language Qualification:
The English test you have passed (i.e. IELTS; EAP)
Overall score:
The overall score of the English test.
Individual Scores:
Please list your listening, reading, speaking and writing scores.
Have you studied in the UK before?
Have you ever studied in the UK? (Please tick) Yes No
NQF level of previous UK studies:
The NQF level of the last course you studied in UK (i.e. EAP is
CEFR B2; degree is NQF level 6)
Progression reasons:
Reasons why you were accepted to study at a lower NQF level or
the same NQF level?
Dependents
Are you bringing dependents with you to the UK? Yes No
If YES, insert number of dependents.
Age on Entry
Will you be under 18 years of age at the start of your Yes No
course? If Yes, please include written consent from your
parent(s) or legal guardian(s) that you live and
travel independently

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 The original certificates for the qualifications detailed above must be included when applying for a Tier
4 (General) student visa. English translations will be required for your visa application and for
university registration.

We will send your CAS statement by email. Please ensure that you read all of the information included
in your CAS statement carefully. If there are any errors you should email
studentadmin@sunderland.ac.uk at the earliest opportunity. Please provide any evidence that
highlights the error in your email to admissions (i.e. the information page of your passport that displays
your correct full name and passport number).

IMMIGRATION HISTORY
Are you applying for a Visa Inside the UK
inside or outside of The UK? Outside the UK in my home country
Outside the UK NOT in my home country
Do you have a current UK visa? Yes
No
If yes, what type of visa do you have? for example, Tier 4,short term
study visa)
Have you ever been Yes If yes, when were you last refused a
Refused a UK visa application No visa for the UK?:
Please provide details of any visa refusals you have received when seeking to travel to the UK or any other
country. For example, short term study visa, short term visitor’s visa, Tier 4

PREVIOUS STUDY IN THE UK

Visa dates and type Name of UK Educational Institution and full Award obtained
title of course studied (please include
Visa Type Start date End date English language courses)

Declaration:
By submitting this form you are confirming that you have provided accurate information (to the best of
your knowledge) and you give your consent for the University to contact the UKVI on any immigration
matter that may impact on your applicant or student status.

Student signature: Date:

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