Visitor Visa Form - School of Clinical Medicine

This form must be completed by non-UK and Irish nationals who do not have permanent residency in the UK.

Short Term Study Visa form to be completed by NON-UK elective students as part of the Stage 2 Application process.

Given Names*
Family Name*
Date of birth*
DD slash MM slash YYYY
Nationality*
Elective start date*
DD slash MM slash YYYY
Elective finish date*
DD slash MM slash YYYY
Gender*
Name of Home Institution (e.g. National University of Singapore)*
Address of Home Institution*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country