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DO NOT COMPLETE THIS FORM UNLESS YOU HAVE ALREADY BEEN OFFERED A PLACE TO STUDY AT THE
UNIVERSITY OF BRADFORD STARTING IN SEPTEMBER 2012. PLEASE ENCLOSE A COPY OF YOUR OFFER
LETTER.
If you do not fully complete this form, or fail to submit any required documents, your application for a
Scholarship will not be considered.
About You:
Mr ...............Mrs ................ Miss .......... Ms .............. Other ............
First name(s) ..............................................................................................................................................
Surname.....................................................................................................................................................
Date of Birth ..............................................................................................................................................
Nationality .................................................................................................................................................
Home Address ...........................................................................................................................................
Telephone Number....................................................................................................................................
Mobile Number .........................................................................................................................................
Email Address ............................................................................................................................................
Declaration
I declare that all the information I have supplied in this application is correct. If I am found to have submitted
false information I understand that my application and/or any scholarship award will be discontinued
immediately.
If I am awarded a Scholarship I give my consent for my profile to be featured on the Universitys website and in
other materials e.g. the prospectus.
Signed
Print Name.................................................. .
Date ............................................................ .
For Postgraduate students:
Please tick that you have included a copy of your offer letter with this application:
Please send this form and any additional supporting documentation to the address below
by Monday 11 June 2012.
Sarah Verbickas
The Hub
Student Administration and Support
University of Bradford
Richmond Road
Bradford
BD7 1DP
Or email to scholarships@bradford.ac.uk