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Student Personal Details

Title

Other Title

First Name

Last Name

Gender

MaleFemale

Citizenship/Nationality (list all that apply)

Ordinary place of residence

Date of Birth

Do you grant us permission to provide your parent(s) or guardian(s), when requested, with any information pertaining to your application to study, ongoing academic progress, results and attendance?

YesNo

Parent Contact Details 1

First name

Last name

Email

Phone

Include +Country Code and Area Code

Parent Contact Details 2

First name

Last name

Email

Phone

Include +Country Code and Area Code

Do you have a passport?

YesNo

Passport number

Passport expiry date

Passport copy

Representation/Application Support

It is important for us to know who will be managing or giving advice on your application. This information will help us identify who best to contact if we have any issues during your application.

Have you received support with your application to study with us from a representative (e.g Education Consultant or Agent)?

YesNo

Agency Name

City

Country

Counsellor name

Counsellor e-mail address

Counsellor phone number

Include +Country Code and Area Code

Counsellor mobile number

Include +Country Code and Area Code

Agent code

Course details

This is your opportunity to tell us about what course you would like to study with us, and when you would like to start it.

College

Programme

The Hague Pathway College Degree

The Hague University of Applied Sciences degree to follow after the completion of the English Prep School:

Month and Year of Entry

Twente Pathway College Degree

Level of Entry

Month and Year of Entry

Year of Entry

Month of Entry

Student Contact details

Your contact details will be used to update you on the status of your application, and to provide you with your offer if successful. If the application is being made by somebody else on your behalf, please make sure that these are your contact details and not the contact details of that person.

E-mail address

Skype ID

WEChat ID

Whatsapp ID

Primary Phone Number

Include +Country Code and Area Code

Alternative Phone Number

Include +Country Code and Area Code

Address line 1

Address line 2

City/Town

State

Post/Zip Code

Country

Education Background

Your education history will be used to help us assess that you meet our entry requirements for your chosen College and course. Please upload your qualifications if these are available, as we will need them to progress your application further.

Secondary Education

Name of Qualification

School Attended

Country

Language of Instruction

EnglishOther

Other language

Grades

Completed?

YesNo

Scan of Transcript/Results

If you have copies of your transcripts or certificates, please provide these to us.

University Level Education

Have you undertaken studies at University level or above?

YesNo

Name of the qualification

Institution Attended

Country

Grades

Completed

YesNo

Transcript/Results

If you have copies of your transcripts or certificates, please provide these to us.

English Proficiency

If English is not your first language, it is important that we understand your current level of English. Like your education background, there are minimum entry requirements on all of our courses to allow students the greatest opportunity of being successful within their course.

Have you taken an English language test?

YesNo

Please provide us with a copy of your latest English test results, or tell us if you do not have these.

English test copy

Immigration Status and Visa History

To comply with local law and regulations, we need to know information about your immigration status, and immigration history. We may also ask questions to help us to assess your fee status, to ensure that we provide you with the correct tuition fee information.

Are you a citizen or permanent resident of the United Kingdom, European Economic Area or Switzerland?

YesNo

Have you previously studied in the Netherlands?

YesNo

Name of School/Institution:

Start Date:

End Date:

Course Title

Please provide us with any immigration documentation relating to your previous studies. This might include copies of Visas, Biometric Residence Permits (BRPs), Entry Clearance Vignettes, or CAS for instance.

Have you, or somebody on your behalf, previously applied for any visa to enter the Netherlands other than to study?

YesNo

Please choose the most appropriate option from below that closely matches the purpose of your most recent application to enter the Netherlands?

If your application was successful, please provide us with a copy of your previous visas

Do you have any visa applications pending at present?

YesNo

Please tell us about your pending application.

Have you previously had a visa refusal in any country?

YesNo

Please tell us more about this, and provide us with a copy of your previous visa refusal/s:

Date of Refusal

Document Upload

Please provide us with as much information as possible, explaining why you believe you received this refusal, and how your circumstances have changed since your refusal.

Additional Information

In order for us to provide you with information relevant to your application and studies, please tell us how you intend to finance your studies with us:

I will pay for the course myselfMy family will pay for the courseSomebody else will pay for the courseI will be sponsored by the GovernmentI will be sponsored by a companyI have an educational loan

Sponsorship details

By law, we are required to carry out certain checks on the people that will be paying your fees. By providing this information, you are confirming that the individuals have provided their permission to share this information, and for it to be used by us to carry out these checks. This may include sharing this information with relevant checking services.

Name of the individual(s) that will be paying for your course:

Citizenship/Nationality of the individual(s)
(list all that apply):

Ordinary place of residence of individual(s):

The country that this individual or these individuals usually live in:

Sponsorship details

By law, we are required to carry out certain checks on the company that will be paying your fees. By providing this information, you are confirming that the company has provided their permission to share this information, and for it to be used by us to carry out these checks. This may include sharing this information with relevant checking services.

Name of the company that will be paying for your course:

The country that the company is based in:

The name, citizenship/nationality and ordinary place of residence of any person who ultimately controls or owns 50% or more of that entity:

Declaration of Criminal Convictions

Confirming that you have a relevant criminal conviction or punishment will not exclude you from the application process and is collected to help us to consider the suitability of applicants for the courses to which they have applied and to reduce the risk of harm or injury to students and staff caused by the criminal behaviour of other students.

If you are applying to study with us in the UK, you do not need to inform us of any spent convictions (as defined by the Rehabilitation of Offenders Act 1974). If you are not sure whether you should tell us about a previous conviction, you should seek further advice from a solicitor or advisory body.

Do you have unspent criminal conviction

YesNo

Additional Support Needs

We ask you to provide us with information relating to any conditions (physical, mental or learning), that may have an impact on your studies or associated activities with us, or where special arrangements may be required. We do this to ensure that we are able to comply with relevant legislation such as the Equality Act 2010 and to identify reasonable adjustments that can be made to support you if required. If you would like to discuss this information with us further, please contact the College’s Student Support Services.

Do you have any conditions such as physical or learning disabilities, or other conditions, which may affect your studies?

YesNo

Please provide us with further information about this, and what assistance you believe you may need to assist you with your studies.

Other Information:

How did you hear about us?

Other source

Do you have any friends/relatives studying at our institution?

YesNo

Which country are you, the student, submitting this application from?

It is important that this reflects the country that you, as the student, are currently in so that we may give you the most appropriate advice in regards to your visa application where required.

Which city are you submitting this online application form?

Would you like to provide us with any further documents to support your application

Have you previously applied to The Hague University of Applied Sciences?

YesNo

Please provide your student number

Applicant Declaration

I confirm that the information I have supplied on this form is, to the best of my understanding and belief, complete and correct and understand that the giving of false or incomplete information may lead to the cancellation of my application or any subsequent offer made. I understand that the College or Partner University may use information held about me to make checks using official, publicly or commercially available checking services.
I understand that if I provide a personal statement or portfolio for my application, and it appears to have been copied either in part or full from elsewhere, and is not my original work, that this may lead to the cancellation of my application.
I understand that if I choose to make a payment towards my studies before receiving an Unconditional Offer that any subsequent refund requested will be subject to a £150 administration fee.
I confirm that I have read and understood through this application form how my personal information will be used, and understand that I may withdraw my consent at any time by emailing dpo@navitas.com
I understand that the withdrawal of my consent shall not affect the lawfulness of processing based on consent I gave before I decided to withdraw my consent, and that in some instances, the College and Partner University may need to continue processing my data where they have a legal basis for doing so.
I understand that the College or Partner University may need to provide information from my application and any subsequent documentation provided, to government departments or other bodies for regulatory purposes.
I consent to the College obtaining official records from any educational institution that I have attended or examination board or awarding body.
I understand that neither the College or the Partner University are responsible for any mistakes or delays, or any loss or damage suffered by me as a result of any mistakes or delays in the processing of my application.
By submitting this information, you consent to the College and its affiliates screening you and the persons you disclose through the Refinitiv World-Check service. Refinitiv is a third party service provider to the College. You can read Its privacy statement in relation to this service.

As the applicant of this online application, I agree to the applicant declaration and consent to my application being processed.

Privacy Consent

As outlined in our privacy policy, the information that you provide us will allow us to assess your application and provide you with an outcome. We’ll also provide you with information about the course that you’ve applied for, as well as the College and University.

I have read and understood the College’s privacy policy.

I have read and understood the University privacy policy.

Marketing Communications

If you agree to it below, we may contact you to provide you with relevant information on other courses and pathways that we offer, as well as other services offered by the College, University Partner or Navitas Group. It’s important to know that if you choose not to consent to this contact, that we will be unable to provide you with information about accommodation that we offer, or other services such as our Airport Pickups.

I consent to the College sending me marketing information by mail.

I consent to the College sending me marketing information by e-mail.

I consent to the College contacting me by telephone for marketing purposes.

Name

Date

Please tick here if you would like your application to be considered for another Navitas College if your preferred application is unsuccessful.

Leave this field blank

Respondent Email

Pod Email

The Hague Pathway College

Apply Today

You can submit your application online to study at THPC and The Hague University of Applied Sciences through this web page.

THPC Online Application