DURHAM CONSTABULARY FOR OFFICE USE ONLY

Cert no

Date of Issue

Issued at

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……………………………………………...
Signature New Registration (please tick): Y
Change of Details (please tick):
REGISTRATION DETAILS cash .................. change ..................

Surname/family name: YUNG Given Name: Shu Sum

Nationality: HONG KONG Religion/Belief: NO

D.o.B: 1,October,1994 Place of birth: Hong Kong Male Y Female

Address in UK: 53M, Van Mildert College, Mill Hill Lane, Durham

Post Code: DH1 3LQ

UK phone/mobile no: E-mail address: samyung@outlook.com

Any previous addresses in UK:

Address in own country: Hong Kong Ma On Shan,Villa Oceania Flat 3 9 Floor Block D

Post Code: Phone no in own country: 96577813

Occupation/job (including student) in own country: Student

Name of employer/university in own country:

Which airports did you travel through to get to the UK? For example Beijing/Amsterdam/Newcastle
Newcastle

Are you Single Married Divorced Date of marriage (if married):

Y
Do you have children Yes No
Y Husband Wife’s Name:
Husband/Wife’s date of birth: Passport and Cert No:

University/College where you are studying in UK: Durham University

Tutor contact: Petra Points – Van Mildert College

Subject you are studying (including dates from & to) Economics (2013-2016)

Phd thesis title:

Who sponsors you to study & pays your fees/financial support (proof of sponsor): Parents

Student No: 1096845502 How long will you study in the UK: 3 Years

What will you do when you have completed your studies: Work
 Place of employment: Job title:

Work permit number: Worker reference number:

Valid from: Valid to:

Passport number: K01695786 Place of issue: MANILA Issue date: 02 JULY 15

Expiry date: 02 JUL 10 Arrival number: 009218107 Code/Tier: TIER 4 AX9F58DW0

Leave to remain: Port of arrival: NEWCASTLE

Date of arrival: 26 SEP 2013 I.O: 6003

Date granted: Code/Tier: BID number:
13/

Additional Information (address, marital status, etc)