TWIMC Application Form

Important information you should read BEFORE completing this form

A letter will not be produced for students who have a debt to the University

PhD students should make letter requests for letters to the Research Office

REQUEST FOR A "TO WHOM IT MAY CONCERN" (ENROLMENT) LETTER

Please complete this form in BLOCK CAPITALS, read the Declaration below, sign and return it to Student Services. Letters will usually be available within 3 working days (5 working days at the beginning of each term).

NAME:

Please note that your full name will appear on the letter EXACTLY as recorded on our student records.

YOUR STUDENT ID NUMBER DATE OF BIRTH ________________WHAT YEAR OF THE COURSE ARE YOU IN? (i.e. Final)

WHAT DO YOU NEED THIS LETTER FOR?

Home/Overseas AddressTerm-Time Address (in UK)

What will the letter say?

Your full student Name, your present Status as a future/current/past student, your Course Title and Mode of

Study, the Year of the Course for the current/past academic year and the Length of the course in years

Additional information, such as your Address, may be included depending on the purpose of the letter.

Please note that within each academic year we will produce 3 TWIMC letters free of charge. Additional letters will be charged at 5 each. You should make your payment direct to Financial Services in Chancellors Mall, where you will be provided with a receipt. Take your receipt, with this form to the Student Centre to request your letter.

STUDENT DECLARATION

I hereby request and authorise Student Services to supply the above information to the person and/or organisation that I have specified. I understand that this information will be correct according to Student Services at the time it is compiled and the University shall not be responsible for any errors or omissions made or any consequences of the information being released outside the University.

SIGNATURE ___________________________________________________ DATE _________________________________

For office use only

Letter issued by (initials)

Date

Student Services June 2011

Student Services June 2011

Important information you should read BEFORE completing this form

A letter will

not

be produced for students who have a

debt

to the University

PhD

students should

make

letter

requests for letters to the

Research Office

REQUEST FOR A "TO WHOM IT MA

Y CONCERN"

(ENROLMENT)

LETTER

Please complete this form in

BLOCK CAPITALS

, read the Declaration below, sign and return it to Student

Service

s

. Letters will usually be available within 3 working days (5 working days at the beginning of each term)

.

NAME

:

Please note that your full name will appear on the letter EXACTLY as recorded on our

student records

.

YOUR STUDENT ID NUMBER

DATE OF

BIRTH

________________

WHAT YEAR OF THE COURSE ARE YOU IN

? (i.e. Final)

WHAT DO YOU NEED THIS LETTER FOR?

Home

/Overseas

Address

Term

-

Time Address

(in UK)

What will the letter say?

Your full student

Name

, your present

Status

as a future/current/past student, your

Cour

se Title

and

Mode

of

Study, the

Year

of the Course for the current/past academic year and the

Length

of the course in years

Additional information

,

such as your

Address

,

may be included depending on the purpose of the letter

.

Please note that within ea

ch academic year we will produce 3 TWIMC letters free of charge. Additional letters will be

charged at

5 each

. You should make your payment direct to Financial Services in Chancellors Mall, where you will be

provided with a receipt. Take your receipt, wi

th this form to the Student Centre to request your letter.

S

TUDENT

DECLARATION

I hereby request and authorise Student Service

s

to supply the above information to the person and/or organisation that I have specified. I understand

that this information wil

l be correct according to Student Service

s

at the time it is compiled and the

University

shall not be responsible for any errors or

omissions made or any consequences of the information being released outside the

University

.

SIGNATURE

____________________

_______________________________

DATE

_________________________________

For office use only

Letter issued by (initials)

Date