JAMAICAN STUDENTS IN THE UNITED KINGDOM
REGISTRATION FORM
Name:________________________________________________________
Address:______________________________________________________
________________________________________________________
Telephone No.:______________________
E-Mail:_____________________________
Passport No.: _________________________
Place of Issue:_________________________
Date of Issue:_________________________
Expiry Date: __________________________
University/College/Other Institution:__________________________________
Address:_______________________________________________________
________________________________________________________
Length of Course: _______________________
Type of Course: _________________________
Funding: Government Scholarshipž Private Scholarshipœ Other ˜ Give details:________________________________________________________
________________________________________________________
Details of Next of Kin in Jamaica:
Name:_________________________________________
Relationship:_____________________________________
Address:___________________________________________
_____________________________________________
Telephone No.: _______________________________
Signature:________________________________
Date:______________________
Please return completed application form to:
Consular & Legal Department,
Jamaican High Commission,
1 — 2 Prince Consort Road,
London SW7 2BZ.