A Personal Details1 Surname (Family Name)* _Forename _* This is the name in which your application will be registered2 Sex (please tick) 3 Marital status (please tick) 4 Date of birth Male Female Single Married Day Month Year5 Permanent address _Postcode _ Telephone _6 Address for correspondence _ _ Postcode _Please give dates for which this is valid: From Day Month Year to Day Month YearTelephone _Email _7 Nationality _8 Passport number _Mandatory for all non-EEA nationals requiring a UK student visa (see Notes)9 Place of birth _10 Country of permanent residence _Application for Admission as a Postgraduate StudentSchool of Oriental and African Studies (University of London), Thornhaugh Street, Russell Square, London WC1H 0XG, UK.Please read the enclosed Notes before completing this form. Please use BLOCK CAPITALS and BLACK INK.DATE OF RECEIPTFOR OFFICE USE ONLYB Programme Details11 Date of admission: September _12 Application for: Masters ProgrammeProgramme Title _If your application to your first choice is unsuccessful, is there an alternative programme for which youwould like to be considered?_The MA International Studies and Diplomacy and postgraduate degrees by distance learning have separateapplication forms. You must contact the relevant department directly for further information - see Notes13 Application for: Graduate DiplomaProgramme Title _14 Application for: Research ProgrammePlease attach a research proposal of 1,000 words (please see Notes). Please indicate here the departmentin which you wish to undertake your research._If you are applying for a Research Degree in Anthropology, please note you must submit a 2,000 wordresearch proposal. Also indicate below if you require further language training for carrying out fieldworkduring your MPhil year? Yes No Language required _Please tick one MA MSc MMus LLMMode of attendance Full-time Part-time 2 years Part-time 3 yearsPlease tick one MPhil MPhil/PhDMode of attendance Full-time Part-time Visiting Research Start date (month/year) _ Number of terms _C Finance15 Fee statusPlease state the number of years of you, your parents and, if applicable, your spouse have been resident in the UK or other EU country with dates:Yourself Your parents Your spouseCountry _ Country _ Country _From From From Day Month Year Day Month Year Day Month YearIf you are a non-EU national do you have the right of settlement in the UK? (please tick) No Yes Please give details _Note: If you have been granted settled status in the UK you must supply documentary evidence of this (eg. a copy of your passport, a copy of your letterfrom the Home Office).16 Please state how you will meet the full expenses of your course. Please note that no student may begin a programme until the appropriate fees havebeen paid to the Academic Registrar._