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<h3 class="wcmform-title">Please complete the form below and click 'submit'</h3> <form class="style1 wcmform" action="" method="post" id="fFF98B15D-55AD-CAF7-2AD3-DD3B6EB53B51" enctype="multipart/form-data"> <input type="hidden" name="csrf_token" value="MTUwODI5OTc2MjUwNDdmNjUwYTBjZjRkODllZjQ4MTY3Y2Q4NzFhZmU1MGZmMjk1MjZiYzk3MzhlMWJmNDMwM2UxYWEwMzQwOWYyYzUyYmUwNWEyMTc5ZjM3" /> <input type="hidden" name="form" value="FF98B15D-55AD-CAF7-2AD3-DD3B6EB53B51" /> <fieldset data-id="fs-0"><legend class="legend show-for-sr">Personal Details</legend><h3 aria-hidden="true">Personal Details</h3><dl><dt><label class="required" for="sdZNeTK4ka">Title</label></dt><dd><select name="sdZNeTK4ka" id="sdZNeTK4ka" required="required"><option value="">Please select...</option><option value="Miss">Miss</option><option value="Ms">Ms</option><option value="Mrs">Mrs</option><option value="Mr">Mr</option><option value="Mx">Mx</option><option value="Dr">Dr</option></select></dd><dt><label class="required" 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data-ui="date" required="required" /></div></dd><dt><label class="required" for="00nBAprCAn">Email Address</label></dt><dd><input type="email" name="00nBAprCAn" id="00nBAprCAn" required="required" /></dd><dt><label class="required" for="1dX3vgqWmc">Address</label></dt><dd><dl class="elementGroupContainer elementAddress"><dt>House/street</dt><dd><input type="text" name="1dX3vgqWmc[address1]" required="required" /></dd> <dt> </dt><dd><input type="text" name="1dX3vgqWmc[address2]" /></dd> <dt>Town/city</dt><dd><input type="text" name="1dX3vgqWmc[town]" required="required" /></dd> <dt>County/State</dt><dd><input type="text" name="1dX3vgqWmc[county]" required="required" /></dd> <dt>Postcode/Zipcode</dt><dd><input type="text" name="1dX3vgqWmc[postcode]" style="width: 8em; min-width: inherit !important;" required="required" /></dd> <dt>Country</dt><dd><select name="1dX3vgqWmc[country]" required="required"><option value="">Please select</option><option 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value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia (Plurinational State of)">Bolivia (Plurinational State of)</option><option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cabo Verde">Cabo Verde</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Congo (Democratic Republic of the)">Congo (Democratic Republic of the)</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Côte d'Ivoire">Côte d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Curaçao">Curaçao</option><option value="Cyprus">Cyprus</option><option value="Czechia">Czechia</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Southern Territories">French Southern Territories</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option><option value="Holy See">Holy See</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran (Islamic Republic of)">Iran (Islamic Republic of)</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Isle of Man">Isle of Man</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea (Democratic People's Republic of)">Korea (Democratic People's Republic of)</option><option value="Korea (Republic of)">Korea (Republic of)</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macao">Macao</option><option value="Macedonia (the former Yugoslav Republic of)">Macedonia (the former Yugoslav Republic of)</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia (Federated States of)">Micronesia (Federated States of)</option><option value="Moldova (Republic of)">Moldova (Republic of)</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Palestine, State of">Palestine, State of</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn">Pitcairn</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Réunion">Réunion</option><option value="Romania">Romania</option><option value="Russian Federation">Russian Federation</option><option value="Rwanda">Rwanda</option><option value="Saint Barthélemy">Saint Barthélemy</option><option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin (French part)">Saint Martin (French part)</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option><option value="South Sudan">South Sudan</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syrian Arab Republic">Syrian Arab Republic</option><option value="Taiwan, Province of China">Taiwan, Province of China</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania, United Republic of">Tanzania, United Republic of</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States of America">United States of America</option><option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Venezuela (Bolivarian Republic of)">Venezuela (Bolivarian Republic of)</option><option value="Viet Nam">Viet Nam</option><option value="Virgin Islands (British)">Virgin Islands (British)</option><option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select></dd></dl></dd><dt><label class="required" for="wRDF2I89Rn">Nationality (as it appears on your passport)</label></dt><dd><select name="wRDF2I89Rn" id="wRDF2I89Rn" required="required"><option value="">Please select...</option><option value="AF">Afghanistan</option><option value="AX">Åland Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia (Plurinational State of)</option><option value="BQ">Bonaire, Sint Eustatius and Saba</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="BN">Brunei Darussalam</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="CV">Cabo Verde</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo</option><option value="CD">Congo (Democratic Republic of the)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Côte d'Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czechia</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands (Malvinas)</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="VA">Holy See</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran (Islamic Republic of)</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KP">Korea (Democratic People's Republic of)</option><option value="KR">Korea (Republic of)</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Lao People's Democratic Republic</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia (the former Yugoslav Republic of)</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia (Federated States of)</option><option value="MD">Moldova (Republic of)</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestine, State of</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Réunion</option><option value="RO">Romania</option><option value="RU">Russian Federation</option><option value="RW">Rwanda</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena, Ascension and Tristan da Cunha</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten (Dutch part)</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syrian Arab Republic</option><option value="TW">Taiwan, Province of China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US">United States of America</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VE">Venezuela (Bolivarian Republic of)</option><option value="VN">Viet Nam</option><option value="VG">Virgin Islands (British)</option><option value="VI">Virgin Islands (U.S.)</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select></dd><dt><label class="" for="53MVSjvPY8">Country of birth</label></dt><dd><select name="53MVSjvPY8" id="53MVSjvPY8"><option value="">Please select...</option><option value="AF">Afghanistan</option><option value="AX">Åland Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia (Plurinational State of)</option><option value="BQ">Bonaire, Sint Eustatius and Saba</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="BN">Brunei Darussalam</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="CV">Cabo Verde</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo</option><option value="CD">Congo (Democratic Republic of the)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Côte d'Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czechia</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands (Malvinas)</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="VA">Holy See</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran (Islamic Republic of)</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KP">Korea (Democratic People's Republic of)</option><option value="KR">Korea (Republic of)</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Lao People's Democratic Republic</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia (the former Yugoslav Republic of)</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia (Federated States of)</option><option value="MD">Moldova (Republic of)</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestine, State of</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Réunion</option><option value="RO">Romania</option><option value="RU">Russian Federation</option><option value="RW">Rwanda</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena, Ascension and Tristan da Cunha</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten (Dutch part)</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syrian Arab Republic</option><option value="TW">Taiwan, Province of China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US">United States of America</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VE">Venezuela (Bolivarian Republic of)</option><option value="VN">Viet Nam</option><option value="VG">Virgin Islands (British)</option><option value="VI">Virgin Islands (U.S.)</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select></dd><dt><label class="" for="AUdLDz28LL">Country of permanent residence</label></dt><dd><select name="AUdLDz28LL" id="AUdLDz28LL"><option value="">Please select...</option><option value="AF">Afghanistan</option><option value="AX">Åland Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia (Plurinational State of)</option><option value="BQ">Bonaire, Sint Eustatius and Saba</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="BN">Brunei Darussalam</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="CV">Cabo Verde</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo</option><option value="CD">Congo (Democratic Republic of the)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Côte d'Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czechia</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands (Malvinas)</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="VA">Holy See</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran (Islamic Republic of)</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KP">Korea (Democratic People's Republic of)</option><option value="KR">Korea (Republic of)</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Lao People's Democratic Republic</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia (the former Yugoslav Republic of)</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia (Federated States of)</option><option value="MD">Moldova (Republic of)</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestine, State of</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Réunion</option><option value="RO">Romania</option><option value="RU">Russian Federation</option><option value="RW">Rwanda</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena, Ascension and Tristan da Cunha</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten (Dutch part)</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syrian Arab Republic</option><option value="TW">Taiwan, Province of China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom</option><option value="US">United States of America</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VE">Venezuela (Bolivarian Republic of)</option><option value="VN">Viet Nam</option><option value="VG">Virgin Islands (British)</option><option value="VI">Virgin Islands (U.S.)</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select></dd><dt><label class="required">Will you require a Tier 4 Student Visa to study at Sussex ?</label></dt><dd><div class="description">If you will require a Tier 4 Student Visa to study at Sussex, please indicate this here. If you already hold a visa, you may need a new visa to study on the PG Certificate. If you are unsure, please select 'Yes' and provide the required passport information below.</div><div class="elementGroupContainer elementRadio"><label><input name="TUBGA7npdf" type="radio" required="required" value="Yes" /> Yes</label><br /><label><input name="TUBGA7npdf" type="radio" required="required" value="No" /> No</label><br /></div></dd><dt><label class="" for="QKTyFfGIBv">Passport Number</label></dt><dd><div class="description">If you will require a Tier 4 Student Visa to study at Sussex, please provide your passport number.</div><input type="text" name="QKTyFfGIBv" id="QKTyFfGIBv" maxlength="10" /><i class="suffix">Maximum of 10 characters. <span></span></i></dd><dt><label class="" for="WeCQdxpOxK">Passport validity</label></dt><dd><div class="description">Please indicate the dates that your passport is valid From and To</div><div class="elementGroupContainer elementDateRange">Start: <input type="date" min="" max="" data-ui="date" name="WeCQdxpOxK[start]" /> End: <input type="date" min="" max="" data-ui="date" name="WeCQdxpOxK[end]" /></div></dd></dl></fieldset><fieldset data-id="fs-1"><legend class="legend show-for-sr">Qualifications</legend><h3 aria-hidden="true">Qualifications</h3><dl><dt><label class="required" for="9QiMzI7Fni">Current/Most recent institution</label></dt><dd><div class="description">Provide the name of the institution where you are currently studying/most recently studied</div><div class="elementGroupContainer elementText"><span data-multiple="true" data-required="true"><input type="text" name="9QiMzI7Fni[]" id="9QiMzI7Fni" required="required" /></span></div></dd><dt><label class="required" for="XT8rAcq1xu">Current/Most recent qualification</label></dt><dd><div class="description">Title and level of your current/most recent qualification (i.e BSc Computer science)</div><input type="text" name="XT8rAcq1xu" id="XT8rAcq1xu" required="required" /></dd><dt><label class="required" for="Q0xk9qQZIC">Date of qualification</label></dt><dd><div class="elementGroupContainer elementDateRange">Start: <input type="date" min="" max="" data-ui="date" required="required" name="Q0xk9qQZIC[start]" /> End: <input type="date" min="" max="" data-ui="date" required="required" name="Q0xk9qQZIC[end]" /></div></dd><dt><label class="" for="NFCOrWKXed">Previous institution</label></dt><dd><div class="description">If you have a relevant earlier qualification, please provide details of where you studied.</div><input type="text" name="NFCOrWKXed" id="NFCOrWKXed" /></dd><dt><label class="" for="FFigpE2sAu">Previous qualification</label></dt><dd><div class="description">Title/level of your previous qualification</div><input type="text" name="FFigpE2sAu" id="FFigpE2sAu" /></dd><dt><label class="" for="8Cwj91tlU3">Date of previous qualification</label></dt><dd><div class="elementGroupContainer elementDateRange">Start: <input type="date" min="" max="" data-ui="date" name="8Cwj91tlU3[start]" /> End: <input type="date" min="" max="" data-ui="date" name="8Cwj91tlU3[end]" /></div></dd><dt><label class="required" for="KP1YAGMd9l">Numeracy</label></dt><dd><div class="description">Successful applicants need to have good numeracy. Please indicate your highest mathematics qualification or other evidence of numeracy (whether GCSE, AS or A level, Skills test or other qualification)</div><input type="text" name="KP1YAGMd9l" id="KP1YAGMd9l" required="required" /></dd><p class="information">You must provide evidence of your qualification(s). Please either upload these (see below) or email to the Admissions Office at pg.applicants@sussex.ac.uk. It will also be useful if you could upload/email a CV/resume.</p></dl></fieldset><fieldset data-id="fs-2"><legend class="legend show-for-sr">Personal Statement</legend><h3 aria-hidden="true">Personal Statement</h3><dl><dt><label class="required" for="KEfZZp7KAr">Personal Statement</label></dt><dd><div class="description">Please either upload a personal statement (see below) or complete the box below (max 500 words)</div><textarea name="KEfZZp7KAr" id="KEfZZp7KAr" required="required" data-max-length="500" data-max-type="word" style="width:98%;height:10em;" class="elementTextarea"></textarea><i class="suffix">Maximum of 500 words. <span></span></i></dd></dl></fieldset><fieldset data-id="fs-3"><legend class="legend show-for-sr">Reference</legend><h3 aria-hidden="true">Reference</h3><dl><dt><label class="" for="5NCukmk2OX">Referee</label></dt><dd><div class="description">You will need to provide at least one reference in support of your application. This should be an academic reference if you gained your most recent qualification within the last five years, otherwise it should be your current or most recent employer. Please ensure that you ask their permission and provide their name here. The reference should be emailed directly to pg.applicants@sussex.ac.uk.</div><input type="text" name="5NCukmk2OX" id="5NCukmk2OX" /></dd></dl></fieldset><fieldset data-id="fs-4"><legend class="legend show-for-sr">Monitoring information</legend><h3 aria-hidden="true">Monitoring information</h3><dl><dt><label class="">Disability</label></dt><dd><div class="description">Sussex aims to create an environment that enables all students to participate fully in University life. To help us make any reasonable adjustments that may be necessary, please tick the box below to indicate your specific needs. If you indicate that you have a disability, special need or medical condition this information will be passed on to the Student Support Unit who may contact you for further details. Please note that consideration of how we can meet any special needs is separate to the assessment of your academic suitability.</div><div class="elementGroupContainer elementCheckbox"><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Blind or serious visual impairment" /> Blind or serious visual impairment</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Cognitive impairment (such as autistic spectrum disorder or resulting from head injury)" /> Cognitive impairment (such as autistic spectrum disorder or resulting from head injury)</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Deaf or serious hearing impairment" /> Deaf or serious hearing impairment</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Long-standing illness or health condition (such as cancer, HIV, diabetes, chronic heart disease, or epilepsy)" /> Long-standing illness or health condition (such as cancer, HIV, diabetes, chronic heart disease, or epilepsy)</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Mental health condition (such as depression or schizophrenia)" /> Mental health condition (such as depression or schizophrenia)</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Physical impairment or mobility issues (such as difficulty using arms or using a wheelchair or crutches)" /> Physical impairment or mobility issues (such as difficulty using arms or using a wheelchair or crutches)</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="Specific learning disability (such as dyslexia or dyspraxia)" /> Specific learning disability (such as dyslexia or dyspraxia)</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="No disability" /> No disability</label><br /><label><input name="r6gGZ8RsKB[]" type="checkbox" value="r6gGZ8RsKB_other" /> <input type="text" name="r6gGZ8RsKB_other" class="includeother" value="" /> Other, please specify</label><br /></div></dd><dt><label class="">Ethnic Origin</label></dt><dd><div class="description">Please note that the information requested will be used for statistical purpose only to enable the University to monitor its equal opportunity practices. The University's equal opportunities policy is to ensure that all applicants are treated equally regardless of race, sex or disability, etc. Please tick the box below corresponding to the category that you consider best describes your ethnic origin. Please note that ethnic origin is not about nationality, place or birth or citizenship.</div><div class="elementGroupContainer elementCheckbox"><label><input name="14MDrd8eBA[]" type="checkbox" value="Arab" /> Arab</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Asian other" /> Asian other</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Bangladeshi" /> Bangladeshi</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Black African" /> Black African</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Black Caribbean" /> Black Caribbean</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Chinese" /> Chinese</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Gypsy or Traveller" /> Gypsy or Traveller</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Indian" /> Indian</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Other mixed background" /> Other mixed background</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Pakistani" /> Pakistani</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="Prefer not to disclose" /> Prefer not to disclose</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="White" /> White</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="White and Asian" /> White and Asian</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="White and Black African" /> White and Black African</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="White and Black Caribbean" /> White and Black Caribbean</label><br /><label><input name="14MDrd8eBA[]" type="checkbox" value="14MDrd8eBA_other" /> <input type="text" name="14MDrd8eBA_other" class="includeother" value="" /> Other, please specify</label><br /></div></dd><dt><label class="">Religious affiliation</label></dt><dd><div class="description">What is your religion ? <br /> Please select one of the options below.</div><div class="elementGroupContainer elementCheckbox"><label><input name="54KuMJDFpw[]" type="checkbox" value="No religion" /> No religion</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Buddhist" /> Buddhist</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Christian" /> Christian</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Hindu" /> Hindu</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Jewish" /> Jewish</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Muslim" /> Muslim</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Sikh" /> Sikh</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Spiritual" /> Spiritual</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Any other religion or belief" /> Any other religion or belief</label><br /><label><input name="54KuMJDFpw[]" type="checkbox" value="Prefer not to say" /> Prefer not to say</label><br /></div></dd><dt><label class="required">Criminal Conviction</label></dt><dd><div class="description">You are required to declare any criminal convictions for offences against the person, whether of a violent or sexual nature, and convictions for offences involving unlawfully supplying controlled drugs or substances where the conviction concerns commercial drug dealing or trafficking. You do not need to reveal convictions that are spent (as defined by the Rehabilitation of Offenders Act 1974) - a spent conviction is one that can be ignored after a specified amount of time, depending on the sentence imposed. If you indicate a conviction we may contact for you more information. If you are convicted of a criminal offence after you have applied you are required to inform the University accordingly. Please note that consideration of criminal convictions is separate to the assessment of your academic suitability. If you declare a criminal conviction, the Admissions Office will contact you separately to ask for more information.</div><div class="elementGroupContainer elementRadio"><label><input name="tfeIpA540c" type="radio" required="required" value="I do have a criminal conviction to declare" /> I do have a criminal conviction to declare</label><br /><label><input name="tfeIpA540c" type="radio" required="required" value="I do not have a criminal conviction to declare" /> I do not have a criminal conviction to declare</label><br /></div></dd></dl></fieldset><fieldset data-id="fs-5"><legend class="legend show-for-sr">Documents required</legend><h3 aria-hidden="true">Documents required</h3><dl><dt><label class="">Checklist</label></dt><dd><div class="description">Before your application can be considered, you must provide the following documents. Any documents that cannot be attached here can be emailed to pg.applicants@sussex.ac.uk.</div><div class="elementGroupContainer elementCheckbox"><label><input name="QDXBbL7QWf[]" type="checkbox" value="Certificate/transcript of qualifications held" /> Certificate/transcript of qualifications held</label><br /><label><input name="QDXBbL7QWf[]" type="checkbox" value="At least one academic reference" /> At least one academic reference</label><br /><label><input name="QDXBbL7QWf[]" type="checkbox" value="Copy of your passport (if you will require a Tier 4 Student Visa to study at Sussex)" /> Copy of your passport (if you will require a Tier 4 Student Visa to study at Sussex)</label><br /><label><input name="QDXBbL7QWf[]" type="checkbox" value="Copy of your current and all previous recent UK visas/BRPs (if appropriate)" /> Copy of your current and all previous recent UK visas/BRPs (if appropriate)</label><br /></div></dd><dt><label class="" for="V2FhTeYIlG">Personal Statement</label></dt><dd><div class="description">This can be uploaded here if not written in the text box above.</div><div class="elementGroupContainer elementFile"><input type="file" name="V2FhTeYIlG[0]" id="V2FhTeYIlG0" data-filesize="5242880" /></div><i class="suffix">Maximum of 5MB</i></dd><dt><label class="" for="O4QR9Ch1c4">Qualifications</label></dt><dd><div class="description">Evidence of your previous qualifications, transcripts etc. (maximum five documents)</div><div class="elementGroupContainer elementFile"><input type="file" name="O4QR9Ch1c4[0]" id="O4QR9Ch1c40" data-filesize="5242880" /><br/><input type="file" name="O4QR9Ch1c4[1]" id="O4QR9Ch1c41" data-filesize="5242880" /><br/><input type="file" name="O4QR9Ch1c4[2]" id="O4QR9Ch1c42" data-filesize="5242880" /><br/><input type="file" name="O4QR9Ch1c4[3]" id="O4QR9Ch1c43" data-filesize="5242880" /><br/><input type="file" name="O4QR9Ch1c4[4]" id="O4QR9Ch1c44" data-filesize="5242880" /></div><i class="suffix">Maximum of 5MB per file</i></dd><dt><label class="" for="v9DmPOCL0W">CV/Resume</label></dt><dd><div class="description">Please provide this if you have relevant work experience</div><div class="elementGroupContainer elementFile"><input type="file" name="v9DmPOCL0W[0]" id="v9DmPOCL0W0" data-filesize="5242880" /></div><i class="suffix">Maximum of 5MB</i></dd><dt><label class="" for="dOnoMBpONl">Passport</label></dt><dd><div class="description">If you will need a Tier 4 Student Visa to study the course, please provide a copy of your passport here.</div><div class="elementGroupContainer elementFile"><input type="file" name="dOnoMBpONl[0]" id="dOnoMBpONl0" data-filesize="5242880" /></div><i class="suffix">Maximum of 5MB</i></dd><dt><label class="" for="OsKuWe92Jk">UK Visas</label></dt><dd><div class="description">Please provide copies of current and all previous UK visas (if appropriate) (maximum five documents). If you need to supply additional documents please email to pg.applicants@sussex.ac.uk.</div><div class="elementGroupContainer elementFile"><input type="file" name="OsKuWe92Jk[0]" id="OsKuWe92Jk0" data-filesize="5242880" /><br/><input type="file" name="OsKuWe92Jk[1]" id="OsKuWe92Jk1" data-filesize="5242880" /><br/><input type="file" name="OsKuWe92Jk[2]" id="OsKuWe92Jk2" data-filesize="5242880" /><br/><input type="file" name="OsKuWe92Jk[3]" id="OsKuWe92Jk3" data-filesize="5242880" /><br/><input type="file" name="OsKuWe92Jk[4]" id="OsKuWe92Jk4" data-filesize="5242880" /></div><i class="suffix">Maximum of 5MB per file</i></dd><dt><label class="required">Declaration</label></dt><dd><div class="description">Please read this declaration and tick the box to confirm that you accept its terms, so that you can submit your online application. Ticking the box confirms that you accept the terms of the declaration as follows:<br /> <br /> We may take any necessary steps to check with you and other parties that the information provided is accurate and complete. For example, we may need to see proof of<br /> <br /> • Your identity<br /> • Your status<br /> • Your qualifications<br /> • Your employment history<br /> • Your previous visas<br /> <br /> If we do not receive that information by a set date, or if the information is not satisfactory, we can cancel your application. We have the right to cancel your application if we believe that your application contains false information or you have not written your personal statement yourself.<br /> <br /> The University expects all applicants to behave in an appropriate academic manner throughout the application process. The University reserves the right to withdraw an offer of a place if an applicant sends inappropriate communication to any member of staff at the University. This includes verbal, written or electronic communication and includes communication of a threatening, sexual or insulting nature.<br /> <br /> If the University is unable to provide the educational services described in the prospectus for any reason, we will do all we can to keep any disruption as minimal as possible. 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