Associate Student
ApplicAtion form
The completed application should be returned to: Associate Student Applications,
Student Recruitment and Admissions Office, SOAS, Thornhaugh Street, Russell Square,
London WC1H 0XG, United Kingdom
It is important to read the instructions on page 3 before attempting to complete this application. Please use black ink if it is not typed.
1. Personal Details
Title (Mr/Mrs/Ms/Miss) Family name
Other names
please give your name as it appears on your passport
Permanent home address
Correspondence address (if different) please indicate dates for which this is valid
Email (compulsory)
Gender: Male/Female Date of birth Day Month Year
Nationality Place of birth
Country of permanent residence Passport No
Emergency Contact
Emergency Contact Address
2. ProPoseD Course of stuDy
Which programme you would like to apply for?
Associate Student – Undergraduate study
Associate Student – Postgraduate study
When do you propose to study at SOAS?
Full year (September – June)
Term 1 only (September – December) Terms 2&3 only (January – June)
How do you propose to study?
Proposed year of entry
Indicate below which courses you would like to study at SOAS.
Course Title Course Reference No.
List a further 5 courses in which you are interested and which would serve as acceptable alternatives in the event of timetable
conflicts, course cancellations or demand limitations.
Course Title Course Reference No.
Note: No students can take more than 4 full units per year (or more than 4 courses per term); this is considered a full course load at
SOAS. It is however possible to take less than 4.
How many course units do you propose to take at SOAS?
3. aCaDemiC information
Higher Education please give details of universities or colleges attended and degrees obtained with dates
Name of College or University
Major field of study/degree
Dates: From To
Applicants must enclose certificates with the application.
Qualifications Pending Please give details of any degrees or other higher education awards that are still due to be awarded or completed,
with details of the university or college.
English Language: If English is not your first language then you must also submit evidence of your English Language proficiency (please
see the for more information). Your application cannot be considered without this documentation. If you
have completed a degree in an English speaking country (e.g the UK or the USA) then please contact us for further information.
4. fees
Fee status: For fee purposes, please state the number of years you have been resident in the UK or other EEA countries, with dates
Who will be paying your fees?
Sponsorship/funding body Other
If other, please give details, including when these funds will be made available.
5. Disability/sPeCial neeDs
Please give details if you require special arrangements or additional support during your studies.
6. DeClaration
I confirm that the statements I have made on this form are complete. I understand that any misrepresentation may result in my
expulsion from the programme. I confirm that, if admitted to the School, I undertake to comply with School Regulations.
UK Data Protection Act 1998
I agree to SOAS processing personal data contained on this form or other data which SOAS may obtain from me or other people or
organisations whilst I am applying for admission. I agree to the processing of such data for any purpose connected with my studies, or
my health and safety, whilst on SOAS’s premises or for any other legitimate purpose.
Date Day Month Year
7. referenCe
Part A to be completed by the applicant
Give the name and details of the person whom you have asked to supply an academic reference on your behalf
Name of University/College
Procedures for application
Applications will be considered only when the following have been received:
1 This application form completed in full and signed by the applicant.
2 Complete and official transcripts from all universities or colleges attended by the applicant.
3 One letter of academic reference.
4 Completed course selection.
5 Where English is not the applicant’s first language, evidence of English language proficiency
(please see for further details).
Transcript and reference
Your certificate and your reference should only be sent together with the application form. Delay may be caused if certificates or
other documents pertaining to this application are sent under separate cover to SOAS. If other documents need to be sent under
separate cover, please ensure that they are addressed to Student Recruitment and Admissions Office.
If you have any queries, then please contact us on: Tel: +44 (0)20 7898 4322
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to the CanDiDate for aDmission
Please complete sections A, B, C and D below, in block letters, and then send the form to the referee you have named.
A. Your full name (underline family name)
B. Proposed course of study
C. Year in which you hope to start the course
D. Proposed dates of attendance From To
to the referee
The person named above has applied to this School and has given your name for reference. Will you kindly let us have, as soon as
possible, a confidential opinion in English on this student’s suitability to follow a programme of study at university level?
If there are any examinations outstanding, we would appreciate some indication of the results that you expect this candidate to obtain.
It would be helpful if you would use the page provided overleaf for your reference.
Please put your reference in an envelope, seal it and sign across the seal. Please send the envelope to the applicant who should add it,
unopened, to his/her application papers and forward them together to SOAS.
Thank you in advance for your help.
SOAS Registrar
statement by referee
Name of referee BLOCK LETTERS
Signature Date Day Month Year
Institution and address
Official Stamp of institution
request for reference
Associate Student
Student Recruitment and Admissions Office, SOAS, Thornhaugh Street, Russell Square, London WC1H 0XG, United Kingdom
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