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Reference Form
Please complete this reference form to support the application of the named applicant.
This form should either be completed electronically using Adobe Acrobat Reader, or if you wish to
complete the form by hand, please complete in BLOCK CAPITALS and use black ink.
Section A to be completed by the applicant.
Section B to be completed by the Referee.
SECTION A: APPLICANT
Title Mr/Mrs/Miss/Ms/Other
Surname / Family Name
Forenames / Given Names
Date of Birth (DD/MM/YYYY)
Permanent / Home Country Address
County/State
Post/Zip Code
Country
Qualification for which you are
applying
Do you wish to study on campus or as a Distance student? (Please tick)
Cardiff
Carmarthen
London
Swansea
Distance
SECTION B:
REFEREE
The above candidate has applied to the University to pursue a programme of study. Please complete
this form to enable us to evaluate the candidate’s suitability for admission to the above programme.
Your reference may take the form of a letter on your institution’s headed paper and may include a
Head teacher’s endorsement for courses such as the Foundation Degree in Learning Support.
Name of Referee
Position
Address
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SECTION B: REFEREE
Email
Daytime telephone No.
(including area code)
In what capacity do you know the applicant?
How long have you known the applicant?
Suitability for the proposed scheme of study.
Please comment on the academic/professional capabilities of the applicant.
If you do not know the applicant in this capacity, please provide a character reference instead.
Referee’s Signature:
By typing your name here, you are
signing this form electronically.
Date:
This form may be submitted electronically, or as a hard copy by post to the relevant campus address
below:
Carmarthen/Lampeter/Wales International Academy of Voice (Cardiff) Campus applications:
admissions@uwtsd.ac.uk
Admissions Office, Registry, UWTSD, College Road, Carmarthen, SA31 3EP
Swansea Campus applications: admissions@uwtsd.ac.uk
Admissions Office, Registry, UWTSD, 1
st
Floor, Llys Glas, Alex Building, Alexandra Road, Swansea, SA1 5DU
London Campus applications: londonadmissions@uwtsd.ac.uk
UWTSD, Winchester House, 11 Cranmer Road, London, SW9 6EJ
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