Fee Assessment Questionnaire

Please read all the questions and answer all questions that are relevant to you.
Mandatory questions will be marked with *
1. Personal and contact details
Surname/Family name
Forenames/Given names
UCAS Personal ID number (undergraduate programmes only)

You must provide either a University ID number or UCAS Personal ID number.
University ID number
Date of birth (dd/mm/yyyy)
Email address

2. Programme of study details
Programme applied for
Start date of programme
Calculate the 'first date of the first academic year of the course'

This is different from the start date of your programme and the fees regulations define the ‘first day’ for fee assessment purposes as follows: Programmes starting between 1 August – 31 December, the first day is 1 September. Programmes starting between 1 January – 31 March, the first day is 1 January. Programmes starting between 1 April – 30 June, the first day is 1 April.

Do you have an online 'share code' to prove your Settled or Pre-settled Status under the EU Settlement Scheme?
Yes, I have SETTLED status - please move to section 11 (Additional Information)Yes, I have PRE-SETTLED status - please complete the following sectionsNo - please complete the following sections

If you have Settled or Pre-settled status, you must provide a 'share code' as evidence of this in Section 11.

3. Addresses
Permanent home address

Address Line 1

Address Line 2

City

County

Postcode

Country
Dates Living at this address
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.
If you have been living at your permanent home address for less than 3 years, please provide details of your pervious address

Address Line 1

Address Line 2

City

County

Postcode

Country
Dates Living at this address
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.
Temporary/correspondence address, if not currently living at your permanent home address

Address Line 1

Address Line 2

City

County

Postcode

Country
Dates Living at this address
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.

European Union (EU)
Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland (including the Aland Islands), France (including Guadeloupe, Martinique, French Guyana and Reunion), Germany (including Heligoland), Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal (including Madeira and the Azores), Romania, Slovakia, Slovenia, Spain (including Ceuta, Melilla, the Balearics and the Canary Islands), Sweden.
European Economic Area (EEA)
All the countries in the EU plus Iceland, Liechtenstein and Norway. Due to a bilateral agreement in 2002, nationals of Switzerland are considered to be within the relevant area for fee classification purposes and gives them similar rights to those from Iceland, Liechtenstein and Norway.
What was the date of your first entry to live in the UK?
Reason for living in the UK?

If the question does not apply, please enter ‘not applicable’.
Please give details, if you have lived at another address (not previously mentioned) in the 6 years prior to the 'first day' of the first academic year of the course.

Address Line 1

Address Line 2

City

County

Postcode

Country

This is different from the start date of your programme and the fees regulations define the ‘first day’ for fee assessment purposes as follows: Programmes starting between 1 August – 31 December, the first day is 1 September. Programmes starting between 1 January – 31 March, the first day is 1 January. Programmes starting between 1 April – 30 June, the first day is 1 April.
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.
Reason for residency
Please give details of any absences from the UK/EEA/Switzerland/Overseas territories during the 3 years prior to the 'first day of the first academic year of the programme'.

4. Nationality
Country of birth
Nationality (if dual give both)

Additional document required: Copy of the relevant pages of your current passport. If you hold dual nationality, copies of both passports are required.
Please upload relevant pages of your current passport

Please limit your file to 2MB
If dual nationality, please upload the relevant pages from your second passport

Please limit your file to 2MB
Previous nationality if changed since birth.

If this is not relevant to you, please enter 'not applicable'.
Date of change of nationality

If this is not relevant to you, please enter 'not applicable'.
Date of issue of your passport
Place of issue of your passport
Are you a UK/Irish national or do you have Citizen's Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Righta Agreement?
Yes, move to section 4No

European Economic Area (EEA) – All the countries in the EU plus Iceland, Liechtenstein and Norway. Due to a bilateral agreement in 2002, nationals of Switzerland are considered to be within the relevant area for fee classification purposes and gives them similar rights to those from Iceland, Liechtenstein and Norway.
If No, what is your current UK immigration status?

Additional document required: Evidence of your Immigration status – Passport, letter from the Home Office, asylum recognition card.
Type of Visa/Entry Clearance/Residence Permit (category)

If this is not relevant to you, please enter 'not applicable'.
Please upload evidence to support immigration status

Please limit your file to 2MB
Where issued
When issued
Start date
Expiry date
If you have Indefinite Leave to Enter/ Remain, on what basis was this obtained?
For courses that begin in September/October, will you be living in the UK by the 1 September of the year in which your course begins?
YesNo

Relevant family members – Full definition can be found on the UKCISA website but includes the following:
EU nationals (including UK nationals) – spouse or civil partner; direct descendants of the EU national, or of the EU national’s spouse or civil partner, for example child/grandchild who must also be under 21 or (if 21 or over) dependent on the EU national or dependent on the EU national’s spouse or civil partner; EEA/Swiss workers – child; spouse or civil partner. Settled status – People who have settled status in the UK are: British citizens; people with Indefinite Leave to Enter or Remain; people with a Certificate of Entitlement to the Right of Abode in their passport; serving members of the British armed forces (but not their family members); nationals of the Republic of Ireland. Spouse/Civil Partner – A spouse is a person who is legally married to another person. Civil partners are same-sex couples who have entered into a contractual partnership formally recognised by law in the UK under the Civil Partnership Act 2004. Turkish parent migrant worker – please note that a Turkish parent migrant worker does not have to be currently working but has to have been lawfully employed in the UK either now or at any time in the past.
Information about your parents and spouse/civil partner
5. Your mother
Mother's name (as it appears on her passport)

First

Last
Nationality of your mother

Additional document required: Copy of the relevant pages of your mother's current passport. If your mother holds dual nationality, copies of both passports are required.
Please upload relevant pages of her current passport

Please limit your file to 2MB
If dual nationality, please upload the relevant pages from the second passport

Please limit your file to 2MB
Your mother’s current permanent address

Address Line 1

Address Line 2

City

County

Postcode

Country
Dates Living at this address
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.
If your mother is a UK/Irish national or has Citizens' Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Rights Agreement, please move to section 6.
If your mother is NOT a UK/Irish national (or does NOT have Citizens' Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Rights Agreement) and she is in the UK, what is her current immigration status?

Additional document required: Evidence of your mother's Immigration status – Passport, letter from the Home Office, asylum recognition card.
Type of Visa/Entry Clearance/Residence Permit (category)
Please upload evidence to support immigration status

Please limit your file to 2MB
Where issued
When issued
Start date
Expiry date

6.Your father
Father's name (as it appears on his passport)

First

Last
Nationality of your father

Additional document required: Copy of relevant pages of your father's current passport. If your father holds dual nationality, copies of both passports are required.
Please upload relevant pages of his current passport

Please limit your file to 2MB
If dual nationality, please upload the relevant pages from second passport

Please limit your file to 2MB
Your father’s current permanent address

Address Line 1

Address Line 2

City

County

Postcode

Country
Dates Living at this address
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.
If your father is a UK/Irish national or has Citizens' Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Rights Agreement, please move to section 7.
If your father is NOT a UK/Irish national (or does NOT have Citizens' Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Rights Agreement) and he is in the UK, what is his current immigration status?

Additional document required: Evidence of your father's Immigration status – Passport, letter from the Home Office, asylum recognition card.
Type of Visa/Entry Clearance/Residence Permit (category)
Please upload evidence to support immigration status

Please limit your file to 2MB
Where issued
When issued
Start date
Expiry date

7. Your spouse/civil partner
Do you have a spouse/civil partner?
Yes - If Yes, please complete the followingNo - If No, move to section 8

A spouse is a person who is legally married to another person. Civil partners are same-sex couples who have entered into a contractual partnership formally recognised by law in the UK under the Civil Partnership Act 2004.
Name of spouse/civil partner (as it appears in passport)

First

Last
Nationality of spouse/civil partner

Additional document required: Copy of the relevant pages of your spouse/ civil partner's current passport. If your spouse/ civil partner holds dual nationality, copies of both passports are required.
Please upload relevant pages of their current passport

Please limit your file to 2MB
If dual nationality, please upload the relevant pages from second passport

Please limit your file to 2MB
Date of marriage/civil partnership

Additional document required: Evidence of your marriage/ civil partnership.
Please upload copy of marriage certificate/civil partnership

Please limit your file to 2MB
Your spouse/civil partner’s current permanent address

Address Line 1

Address Line 2

City

County

Postcode

Country
Dates Living at this address
From

If you do not know the exact day, please enter 1st of the month/ month/ year.
To

If you do not know the exact day, please enter 1st of the month/ month/ year.
If your spouse/civil partner is a UK/Irish national or has Citizens' Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Rights Agreement, please move to section 8.
If your spouse/civil partner is NOT a UK/Irish national (or does NOT have Citizens' Rights under the EU Withdrawal Agreement, EEA EFTA Separation Agreement or Swiss Citizens' Rights Agreement) and they are in the UK, what is their current immigration status?

Additional document required: Evidence of your spouse/ civil partner's Immigration status – Passport, letter from the Home Office, asylum recognition card.
Type of Visa/Entry Clearance/Residence Permit (category)
Please upload evidence to support immigration status

Please limit your file to 2MB
Where issued
When issued
Start date
Expiry date

8. Refugees/Asylum seekers
Has anyone in your family ever made an asylum claim in the UK?
Yes - If Yes, please complete the followingNo - if No, move to section 9
If Yes, who made the asylum claim (select as appropriate)
youyour parentyour spouseyour civil partner
Date of asylum application
Has this asylum claim been decided?
YesNo

Additional document required: Evidence of asylum claim decision.
If yes, please provide a copy of the Home Office letter confirming one of the following: Refugee status, Humanitarian protection, Discretionary leave, Exceptional leave to remain. If No, please move to section 9.
Please upload evidence confirming your status (as indicated)

Please limit your file to 2MB
Date granted
Date it expires

9. Migrant workers in the UK
Is there an EEA/Swiss or Turkish parent migrant worker in your family?
Yes - If Yes, please complete the followingNo - if No, move to section 10

Turkish parent migrant worker – please note that a Turkish parent migrant worker does not have to be currently working but has to have beenlawfully employed in the UK either now or at any time in the past.
If Yes, who is the migrant worker in employment? (select as appropriate)
your motheryour fatheryour spouseyour civil partner
Dates of employment
From

Additional document required: Evidence of employment – contracts, employers letters, payslips.
To
Please upload evidence of employment

Please limit your file to 2MB

10. Temporary absences from the UK/EEA/Switzerland/Overseas territories.
If you are not normally resident within the UK/EEA/Switzerland/Overseas territories, please move to Section 11.
Please give details of any absences from the UK/EEA/Switzerland/Overseas territories during the 3 years prior to the 'first day of the first academic year of the programme'. If you have not been absent, please move to Section 11.
Absence 1
Country
From
To
Reason for absence
If the reason for the absence was NOT employment, please add another 'absence' or move to Section 11, as appropriate.
If the reason for absence was for employment, who was employed?
youyour parentyour spouseyour civil partner

Additional document required: Evidence of employment.
Please provide copies of relevant contracts of employment and any renewals/extensions.

Please limit your file to 2MB
Additional upload (if necessary)

Please limit your file to 2MB
Is the employment:
on a fixed term contracton a permanent basison a secondment from employment in the UK/EEA/Switzerland/Overseas territories
Absence 2
Country
From
To
Reason for absence
If the reason for the absence was NOT employment, please add another 'absence' or move to Section 11, as appropriate.
If the reason for absence was for employment, who was employed?
youyour parentyour spouseyour civil partner
If it were not for the employment outside the UK/EEA/Switzerland/Overseas territories, where would you be ordinarily resident?

Ordinarily resident – is defined as habitually, normally and lawfully resident from choice for a settled purpose.
Do you make regular return visits to the UK/EEA/Switzerland/Overseas territories?
Yes - If Yes, please complete the followingNo - If No, move to Section 11
Please provide details of any return visits to the UK/EEA
Return visit 1
From
To
Where and with whom did you stay?

Additional document required: Evidence of your return.
Please upload evidence of visit to the UK/EEA

Please limit your file to 2MB
Return visit 2
From
To
Where and with whom did you stay?

Additional document required: Evidence of your return.
Please upload evidence of visit to the UK/EEA

Please limit your file to 2MB
Return visit 3
From
To
Where and with whom did you stay?

Additional document required: Evidence of your return.
Please upload evidence of visit to the UK/EEA

Please limit your file to 2MB
Do you/your parents/spouse/civil partner own a property in the UK/EEA/Switzerland/ Overseas territories?
YesNo
If yes, is it rented out during your absence and available for your use on your return visitis?
YesNo
Please provide evidence of ownership of the property

Please limit your file to 2MB

11. Additional information
Please enter your gov.uk 'share code', if you have one, to prove your Settled or Pre-settled Status.

This code allows Universities to check your Settled or Pre-settled Status under the EU Settlement Scheme at the gov.uk website. As share codes are only valid for 30 days, please request a new code before completing this field to allow as much time as possible for the check to be made.
Please use this box to state which UKCISA Higher Education England fee category you believe is relevant to your circumstances and any other relevant fee status information you feel may be helpful when considering your fee status assessment.

For more information on UKCISA fee categories, please visit: https://www.ukcisa.org.uk/information--Advice/Fees-and-Money/England-fee-status and click on "Higher Education". You can find this link (UKCISA fee categories) at the top of this page under UKCISA
Please upload additional documents in support of your application (if necessary)

Please limit your file to 2MB
Upload (if necessary)

Please limit your file to 2MB
Upload (if necessary)

Please limit your file to 2MB
Declaration
I declare that the statements made on this form are complete and accurate. I will supply any additional documents that may be required to support the information given.
Please note: The data you provide in this form will be held by the University for the purposes of assessing your fees category. For more information on how we process your data, please go to https://www.birmingham.ac.uk/privacy/index.aspx .
Declaration of consent
Name

First name

Last name
Date

Today’s date (date of application)
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