Student Number (for office use only)

UCAS Record of Prior Acceptance (RPA) Application

Please complete all sections applicable to you in CAPITAL LETTERS. Please remember to include copies of all
transcripts/certificates and an academic reference. WITHOUT THIS INFORMATION ASSESSMENT OF YOUR
APPLICATION WILL BE DELAYED.
If you have already submitted an application via UCAS this year you should not complete the attached application form,
but submit an application through Clearing.

1. PERSONAL DETAILS
Surname/Family Name Other Names (in full) Previous Surname/Family Name (if relevant) Title
NAIR TUSHAR MR

Correspondence Address (From …/…... /..… To …./….../….) Permanent Home Address (if different)
date: month: year date: month: year
______C803 THE NEW RAJPUT APARTMENTS PLOT ____________________________________________
NUMBER 23 SECTOR 12 DWARKA NEW DELHI
INDIA__________________________________ ____________________________________________

_________________________________________________ ____________________________________________

_________________________________________________ ____________________ Postcode: ______________

Telephone No.
___________________ Postcode: (including area code): _________________________
_____10075_______________
Telephone No. Fax No. (inc. area code): _______________________
(including area
code):_________+919711119309______________________ Email address: _______________________________

Fax No. (inc. area code): ____________________________

Email address:
_____NAIRTUSHAR9@GMAIL.COM___________________
___________

Nationality Date of Birth Male/Female First Language (if other than English) Disability Code
INDIAN date : month : year MALE (see guidance notes)
06: 08 :2000
Country of birth Date of first entry to live in UK Residential Category Criminal Conviction?
INDIA N/A (see guidance notes) Yes/No
9 NO

2. PROPOSED STUDY
Course Exact title of course to which you are applying UCAS code Date of entry
LAW BUISNESS LAW, LLB M28G
___________

Level of entry

___________

3. EDUCATION
School, College or University Attended From To
Month Year Month Year
GD GOENKA PUBLIC SCHOOL DWARKA NEW DELHI APRIL 2014 APRI 2018
L
MAXFORT SCHOOL DWARKA APRIL 2010 APRI 2014
L

4. QUALIFICATIONS
Date of results of
Examinations
Awarding Result/
Month Year Body Subject Level Grade
MAY 2015 CBSE 10TH CLASS ( ENGLISH, SOCIAL SCIENCE, MATHS, SCIENCE, HINDI) 85.5
MAY 2018 CBSE LEGAL STUDIES 98
MAY 2018 CBSE HUMAN RIGHTS 98
MAY 2018 CBSE POLITICAL SCIENCE 98
MAY 2018 CBSE ENGLISH 83
MAY 2018 CBSE ECONOMICS 87

5. EMPLOYMENT
Name and Address of From To PT/
Employer Nature of Work Month Year Month Year FT

6. DECLARATION
I confirm that the information provided on this application form is true, complete and accurate, and that no information
requested or other material information has been omitted. I understand that the University reserves the right to establish the
authenticity of my application and that it reserves the right to cancel my application if it transpires that false information has
been provided.

Signature of Applicant: Date:

18 AUGUST 2018

FOR UNIVERSITY USE ONLY

DEPARTMENTAL DECISION Accept Accept Reject
(please tick box) Conditional Unconditional (please provide reason[s] in Comments box below)
Name of Selector: Signature of Selector: Date:

Conditions/Comments:

7. PERSONAL STATEMENT
Please supply any additional details to support your application below.

“LIFE REMAINS ORDINARY IF YOU ARE UNABLE TO SUSTAIN THE CAPACITY TO WORK HARD ON YOUR
DREAMS. IF YOU AREN’T DETERMINED TO GET THERE THEN YOU WONT”
If this page is not sufficient you may attach additional sheets to your application form

8. OPEN REFERENCE
The above applicant has applied to Swansea University to pursue study as indicated in SECTION 2. Please complete this form
to enable us to evaluate the candidate’s suitability for admission to the above programme. Please comment specifically upon
the applicant’s qualifications and potential to undertake the chosen advanced studies.
 Name of Referee ________________________________ Position Held _____________________________________
Address ________________________________________________________________________________________
_______________________________________________________________________________________________
Telephone Number ________________________ Email Address __________________________________________
Relationship to Applicant________________________________________

Signature____________________________________________ Date ___________

When completed, this application should be returned to:

Admissions Office, Swansea University, Singleton Park, Swansea SA2 8PP, UK.

Guidance notes

Please attach photocopies of your examination certificates.

An academic reference is required (usually from your last school/college/institution), which should either be sent direct to the
Admissions Office or attached to the application form.

If you have already submitted an application via UCAS this year you should not complete the attached application form (as UCAS
will refuse to process it). Please contact the Admissions Office to discuss the most appropriate procedure.

Disability Codes

A No Disability
B Aspergers/Autism
C Blind or serious visual impairment
D Deaf or serious hearing impairment
E Long term illness
F Mental health condition
G Dyslexia, dyspraxia, ADHD
H Physical impairment/mobility difficulty
I Other disability not listed
J Two or more disabilities

Residential Categories

1 UK citizen or EU national
2 EEA or Swiss National
3 Child of a Turkish Worker
4 Refugee
5 Humanitarian Protection or Similar
6 Settled in the UK
9 Other