Apply for Uni - Motivation Academy Global

Which country is the university you are applying for?(Required)

United Kingdom

U.S.A.

Canada

Netherlands

Dubai

Personal Details:

Your name ( as stated on passport)*(Required)

Your surname ( as stated on passport)*(Required)

Student Gender * Male or female*

Male

Female

Email(Required)

Phone (Area Code)(Required)

+44

Phone(Required)

Your Address:

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Date of Birth:(Required)

MM slash DD slash YYYY

City and Country of Birth:(Required)

Nationality:(Required)

Your NIN- National Insurance Number (only for UK residence)

Next of Kin

You can include someone living abroad like parents.

Full Name:(Required)

Address:(Required)

Phone Number:(Required)

E-mail:(Required)

Your Rights To Study in UK

Do you live in UK?(Required)

Yes

DATE OF ENTRY TO UK:

Please click the link below to generate for us your share code (proofing your rights to study in UK)

Click Here

Please put your share code here and expiry date.*

Expiry date:

Do you require a visa to study in the UK?(Required)

Yes

Have you ever been granted a visa to enter the UK?(Required)

Yes

Have you ever had a visa application refused for the UK, GERMANY or any other country?(Required)

Yes

Your Family

Marital status:(Required)

* Please only click Living with partner if you share the household bills with your partner and its permanent relationship

Single

Living with partner

Married

Divorced

Separated

Please put Your Partner's full name

Partner's email address:

Partner's Average income for last tax year

Please put your date of marriage

MM slash DD slash YYYY

Please put Your Husband / wife full name

Husband / wife e mail address

Husband / wife Average income for last tax year

Children

Do you have kids with age 18 or less?

Yes

Children

Child full name

Child date of birth

Do they live with you?

Do you need extra money for them for extra care while you are in school? Offset registered nanny or nursery? Offset registered school club?*

Course Details

Please put course details you would like to apply for

Previous Education:

Did you finish any Higher Education degree in UK or abroad?(Required)

Yes

Please tell us all your previous studies (Including studies from your home country

Can you tell us any studies you have started but not completed? Please list them.

Have you studied at University before even if not completed? If yes, please list the name of course studied, name of institution/start and end date.

Additional Information:

Please use this section to indicate whether you have any learning difficulties, impairments or criminal convictions.

Do you have a disability?(Required)

Yes

Do you have dyslexia?(Required)

Yes

Are you blind or partially sighted?(Required)

Yes

Are you deaf/have a hearing impairment?(Required)

Yes

Are you a wheelchair user/have mobility difficulties?(Required)

Yes

Do you have an unseen disability (diabetes, epilepsy)?(Required)

Yes

Do you have a criminal conviction?(Required)

Yes

You must declare if you have a relevant criminal conviction, including violence or drug dealing. If you tick yes, the University will contact you for further information. If you do not declare a criminal conviction, and it comes to light later in the application process, or when enrolled that you have a relevant criminal conviction, your application/student status will be reviewed and your place may be withdrawn.

Referred by:

Zak Kamila

Jankowska Katarzyna

Pawlinska Katarzyna

Sucharska Paulina

Ali Jimi

Karolina Sławińska

Isabella

File Upload

Max. file size: 512 MB.

I Am Confirming That Motivation Academy Agent Is Providing Me With Counseling/Advice Regarding My University Application.When Completed, This Form My Agent Will Submit To The University I Am Seeking Enrolment At.
Upon Receipt Of My Completed Form, I Am Aware And Authorize The University To Remove My Current Agent ( If Any) And Change It In The Student Database To My Proposed Agent Motivation Academy Based On My Previous Privacy Declaration, (As Applicable) All Future Correspondence Will Be Sent To Motivation Academy. Any Commission Payment Due In Relation To My Enrolment Will Be Paid To Motivation Academy.

Name(Required)

Date(Required)

MM slash DD slash YYYY

Signature

You Must Provide Accurate And Complete Information When Using Our Services. If You Provide Wrong, Inaccurate Or False Information Or Documents Your Application May Be Rejected And Your Student Finance May Be Affected.
1. Limitation Of Liability Of Incorrectly Provided Data.
1.1 Motivation Academy Limited Is Not Responsible For Validity And Correctness Of Data Provided By Applicants. It Is Sole Responsibility Of Applicants To Ensure That All Information Provided Are True And Accurate.
Motivation Academy Limited Will Not Accept Liability For Refused, Disregarded, Delayed, Omitted Or Otherwise Unsatisfactorily Process Application Due To Incorrect Data Or Information Provided By A Student. 1.2 References To Liability In This Clause 1 Include Every Kind Of Liability Arising Under Or In Connection With This Agreement Including But Not Limited To Liability In Contract, Tort (Including Negligence), Misrepresentation, Restitution Or Otherwise.
1.3 Neither Party May Benefit From The Limitations And Exclusions Set Out In This Clause In Respect Of Any Liability Arising From Its Deliberate Default.
1.4 Nothing In This Agreement Limits Any Liability Which Cannot Legally Be Limited, Including Liability For:
(A) Death Or Personal Injury Caused By Negligence;
(B) Fraud Or Fraudulent Misrepresentation; And
(C) Breach Of The Terms Implied By Section 12 Of The Sale Of Goods Act 1979 Or Section 2 Of The Supply Of Goods And Services Act 1982 (Title And Quiet Possession).
2. Motivation Academy Limited Do Not Provide Financial Services
2.1 We Are Not Authorized And Regulated To Provide Financial Advice.
2.2 We Do Not Provide Financial, Investment And Other Advice In Relation To The Student Finance Products Available Or Otherwise.
2.3 We Do Not Provide Any Recommendation Or Endorsement Of Products Or Services Available.
2.4 Prior To Making Any Financial Related Decision, You May Wish To Consult A Financial Adviser, Accountant, Lawyer Or Other Professional Adviser.
2.5 Motivation Academy Limited Does Not Accept Any Liability As A Consequence Of Making Any Student Finance Application. It Remains Your Responsibility To Check And Understand Terms Of Any Financial Commitment You Undertake.
I, Undersigned Confirm That I Understand The Above And That All Information And Documents Are True And Accurate To The Best Of My Knowledge.

Name(Required)

Date(Required)

MM slash DD slash YYYY

Signature

Before Submitting This Application, Please Ensure That You Read And Confirm Each Of The Below Statements, That You Are Clear About Each Of The Policies Surrounding Your Application, And Ensure They You Give Explicit Permission For Your Personal Data To Be Shared With Motivation Academy Limited And Named Third Parties. I Confirm That, To The Best Of My Knowledge, The Information Given In This Application Is Correct And Accurate. I Understand That If It Should Be Discovered, However Belatedly, That An Offer Has Been Made On The Basis Of An Application Which Is Found To Contain Statements That Are Fraudulent, Untrue Or Misleading Motivation Academy Limited Reserve The Right To Cancel Applications And Withdraw Offers

I confirm Would you like to receive MARKETING information relevant to YOUR APPLICATION? This could include newsletters, invitations to events and general updates from us

Yes

The Data Protection Act 1998 Prevents Any Person Or Organisation From Accessing Or Sharing Personal Information On An Individual Without Their Express Permission. Motivation Academy Limited Partnerships Rely On The Ability To Share Information With Other Partner Organisations Including The University And Potential Employers And Training Providers. I Give Permission For Information To Be Shared With Third Party Organisations For The Purposes Of Referring My Application As A Direct Student Into The University, Securing Employment Or Training. I Further Consent To Disclosing My Personal Information To Motivation Academy Limited Representatives (Agents) Acting On My Behalf And To Any Government Or Other Sponsoring Body (If Relevant). * I Give Permission And Consent Motivation Academy Limited Has Written A Privacy Notice To Explain How We Keep Your Data Safe And Respect Your Privacy, To Find Out More, Please View Our Privacy Policy Here.

Name(Required)

Date

MM slash DD slash YYYY

Signature

Apply for University with Motivation Academy

Personal Details:

Your Address:

Next of Kin

Your Rights To Study in UK

Your Family

Children

Previous Education:

Additional Information:

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