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 Scholarship, Private Scholarship Other (Give details):________________________________________________________

________________________________________________________

Details of Next of Kin in Jamaica:

Name:_________________________________________

Relationship:_____________________________________

Address:___________________________________________

_____________________________________________

Telephone No.: _______________________________

Signature:________________________________

Date:______________________

Please return completed application form to:
Consular Department,
Jamaican High Commission,
1-2 Prince Consort Road,
London SW7 2BZ.