Official Form

8/13/2019 Official Form

1/12Form Version: 5.9, Builder Version: 8.4.9 15/10/2013 13:47:01 Page 1 of 12

PTAA10-3147 -2894-57T1

Application summary

Personal details

Lead applicant's full name Mr Bishnu Pokhrel

UK correspondence address41, Tallis Grove

Tallis Grove

London

London

SE7 7LB

Date of birth 29 August 1989

Application details

Number of applicants 1

Lead applicant's reference number PTAA10-3147-2894-57T1

Date completed 8 January 2014

Route selected Standard

Name of application Tier 4 Student

Payment details

Application fee 406

WorldPay reference 3424327975

Payment notification number PTAA10-3147-2894-57T1

Payment method Credit card

Date charged 8 January 2014

PTAA10-3147-2894-57T1



Tier 4 Student

Tier 4 (General)

April 2013

This is your official document for your application.

You need to submit this to us by post in order to make your application.Customise application

Student In Country Customisation

Are you applying from within the UK? Yes

What are you applying for? Tier 4 (General)

Are you eligible to bring dependants with you? Yes

Are any of your dependants included in this application? No

Is a representative acting for you in relation to this application? No

Who is completing this application? I am

Were you issued with a biometric residence permit for your current or last

grant of leave?Yes

Which age group do you belong to? 18 and over

Lead applicant

Personal details

Your personal details

Name as given in your passport or travel document

Title Mr

Family name Pokhrel

Given names Bishnu

Gender Male

Relationship status Single

Date of birth 29 August 1989

Village, town or city of birth Narayanpur, Dang

Country of birth Nepal

Nationality Nepal

Tell us which other nationalities you currently hold

Do you hold any other nationality? No



Tell us which previous nationalities you have held

Have you held any previous nationality? No

Other names that you are known by

Are you currently known by any other name? No

Previous names you have been known by

Have you ever used or been known by another name? No

Contact details in the UK

Where are you currently living?

Address

House number or name 41, Tallis Grove

Street name Tallis Grove

Town or city London

County London

Postcode SE7 7LB

When did you move to this address? 6 June 2013

Your contact details

Home telephone number

Mobile telephone number 07453324624

Work telephone number

Preferred contact number Mobile

Fax number

Email address [email protected]

Correspondence address

Is this also your correspondence address? Yes

Reference numbers

Tell us about the reference numbers that have been assigned to you

Have you ever had any Home Office or UK Border Agency reference

number assigned to you?Yes

Your Home Office or UK Border Agency reference number 016656491

Do you have a National Insurance number? Yes

National Insurance number SN349374C



Have you previously had a National Insurance number? No

Passport or travel document

Your passport details

Can you provide a current passport or travel document with your

application?Yes

Is the passport or travel document in your name? Yes

Passport or travel document

Passport or travel document number 05441456

Country of issue Nepal

Nationality Nepal

Date of issue 12 January 2011

Date of expiry 11 January 2021

Issuing authority MOFA, Central Passport Office

Have you ever had any other passport or travel document? No

Biometric residence permit

Please provide us with details of your Biometric Residence Permit (BRP)

Can you provide this biometric residence permit with the application? Yes

Biometric residence permit (BRP) number RC7357564

Nationality as shown on your biometric residence permit Nepal

Date of issue 21 August 2013

Date of expiry 21 February 2013

Previous addresses

Please give details of your previous addresses in Northern Ireland and the dates you lived there

Have you previously lived in Northern Ireland? No

Your previous address details

Have you lived at any other address in the UK within the past 5 years? Yes

Your previous address details



Address

House number or name 89A

Street name Victoria road

Town or city Aldershot

County Hampshire

Postcode GU11 1JE

Date moved to this address 15 March 2011

Date moved from this address 6 June 2013

Personal history

Personal history

Have you been convicted of any criminal offence in the UK or any other

country?

No

Do you have any civil judgments against you or any civil penalty under the

UK Immigration Acts?No

Have you ever been charged or indicted in any country with a criminal

offence for which you have not yet been tried in court?No

In either peace or war time have you ever been involved in, or suspected

of involvement in, war crimes, crimes against humanity, or genocide?No

Have you ever been involved in, supported or encouraged terrorist

activities in any country?No

Have you ever been a member of, or given support to, an organisation

which has been concerned in terrorism?No

Have you, by any means or medium, expressed views that justify or glorifyterrorist violence or that may encourage others to commit terrorist or

other serious criminal acts?

No

PBS immigration history

Current immigration status

What is your current immigration status in the UK? I have leave to enter / remain for a limited period

Leave Category

What category of leave (permission to stay) do you have? As a Tier 4 (General) Student

Were you required to register with the police as a condition of this leave? No

Entry clearance/visa

Did you have a visa/entry clearance when you came to the UK? Yes

In which country did you obtain that visa/entry clearance? India

What is the reference number for that visa /entry clearance (this can be

found in your passport/travel document)?007409467

Date visa/entry clearance valid from 23 February 2011

Date current leave expires 12 April 2013



Previous leave in the UK

Have you ever stayed in the United Kingdom beyond your period of leave? No

Have you ever knowingly used deception when seeking leave to enter or

remain, entered the United Kingdom illegally or worked in the United

Kingdom without immigration permission to do so (contrary to your

conditions of stay)?

No

Have you ever been refused entry clearance, leave to enter or leave to

remain in the UK?No

Have you ever been removed, required to leave or deported from the UK? No

Outstanding applications

Do you currently have any other applications with the UK Border Agency

on which you are awaiting a decision?No

Outstanding appeals

Do you currently have an immigration appeal before the Tribunal which

has not yet been determined?No

Public funds

Public funds

Have you ever claimed any public funds? No

T4 course details

T4 sponsor details

Sponsor's licence number YYEPDGBD6

Sponsor name Anglia Ruskin University

Is this correct? Yes

Sponsor's address

House number or name 19

Street name Charterhouse Street

Town or city london

County London

Postcode EC1N 6RA

T4 course details

Do you have a CAS? Yes

CAS number E4G1QN7D14N0K1

What is the level of qualification you will be awarded when you

successfully complete your course?NQF7

Title of your course of studyMasters of Business Administration

(International)

Date the course starts 15 January 2014



Date the course ends 15 May 2015

Is the address of your primary site of study the same as your Tier 4

sponsor's address?Yes

T4 UCAS details

Is your sponsor a Higher Education Institution? Yes

Did you apply for your course through UCAS? No

How can you demonstrate your English language ability?I have a qualification, at least equivalent to a UK

Bachelor's degree, taught in English

My CAS confirms I speak English to B2 level or

that I am a gifted student

Can you speak English to the required standard? Yes

Maintenance (funds)

Maintenance (funds)

How much are your course fees as stated on your Confirmation of

Acceptance of Studies (CAS), in pounds sterling?5000

Have you already paid any of your course fees? Yes

How much have you paid? 4025

What evidence are you providing with your application that this amount

has been paid?Information on the CAS

Receipts

Do you have current leave as a Tier 4 Student, as a Student or as a

Postgraduate Doctor or Dentist?Yes

Have you, during your current Tier 4 leave: Started and completed your course of study?

How long was the course you completed, or if you are still studying, how

much of your current course have you completed to date?6 months or more

Where are you intending to study? Inner London

Have you already paid any money to your sponsor for accommodation? No

Are you receiving money from an official financial sponsor? No

Are all of the funds in your name? Yes

T4 general attributes

T4 general attributes

What is the level of the course you are applying for? NQF7

Do you need to obtain permission from the Academic Technology

Approval Scheme (ATAS)?No

Are you being sponsored by a government or international scholarship

agency - or have you been sponsored by one of these bodies within the

past 12 months?

No

Supporting documents

Documents for Bishnu Pokhrel



Evidence of Identity - all of these documents must be submitted

Current passport(s) or travel document(s). This document is mandatory, if it is not submitted

this application may be rejected as invalid.

Yes

Biometric Residence Permit this document must be submitted

Biometric Residence Permit. This document is mandatory, if it is not submitted this

application may be rejected as invalid.

Yes

Evidence of Identity - this document is mandatory, if it is not submitted this application may be rejected as invalid.

Two passport photographs Yes

Evidence of maintenance (funds) - you MUST provide all of the following documents:

An original paper receipt from the sponsor Yes

Evidence of your finances - if there is any maintenance left to pay, one or more of the following documents must be submitted.

Your personal bank or building society statement Yes

Electronic bank statement and supporting letter. No

Electronic bank statement stamped by your bank Yes

Your building society pass book No

Letter from your bank or building society No

Letter from a regulated financial institution confirming funds held No

Letter from a regulated financial institution confirming a loan No

Documents used to obtain your CAS if your sponsor listed one or more of the following documents on your CAS, each of these

documents must be submitted.

Original certificate(s) of qualifications Yes

Translation(s) of the certificate(s) No

Original transcript(s) of results Yes

Translation(s) of the transcript(s) of results No

Declaration

Maintenance for Bishnu Pokhrel

I need 7000.00 to cover my maintenance (monthly living costs and course fees for the first year

of my course, or for the length of my course if less than one year). I certify that:

I have paid 4025.00 to my sponsor for my maintenance and, where required, I am providing

specified evidence of this with my application.

I have 2975.00 available to me in the manner specified in the Immigration Rules for my

remaining maintenance and, where required, I am providing specified evidence of this with my

application.

All the money I am using is available to me in the manner specified in the Immigration Rules

and is for my living costs in the UK and will remain so available unless used to pay for living costs

in the UK or my course fees.



Where I am providing evidence of cash funds, this money has been held for a consecutive 28

day period ending no more than 1 month before this application.Yes

Declaration

The information I have given in my application is complete and is true to the best of my

knowledge and belief.

The photographs I have submitted with my application are a true likeness of me.

The documents I have submitted in support of my application are complete and correct to the

best of my knowledge and belief.

I agree to co-operate with UK Border Agency officials, or any other person charged by the

Secretary of State for the Home Office, with conducting pre-issue and post-issue checks in

relation to my application.

If there is a material change in my circumstances or any new information relevant to my

application becomes available before it is decided, I will inform the UK Border Agency.

I am aware that the rules and requirements governing applications may change in the future

and that I should not assume the current rules and requirements will continue to apply.

Please read the following statements and confirm that you agree by placing a tick in the box

below.

I confirm that I have read and that I understand and agree the above declarations.

I confirm that the information I have given in this application is complete and is true to the best

of my knowledge and belief.

I agree to the use of the data provided in this application in accordance with the UK Border

Agencys Information Charter:

Use of data (opens in a new window)

I consent to the UK Border Agency informing my sponsor of the outcome of my application.

I confirm that I agree to all the above statements Yes
http://www.ukba.homeoffice.gov.uk/sitecontent/documents/aboutus/ukba-info-charter.pdfhttp://www.ukba.homeoffice.gov.uk/sitecontent/documents/aboutus/ukba-info-charter.pdf



PNN: PTAA10-3147-2894-57T1

WorldPay reference: 3424327975

Tier 4 Student

Tier 4 (General)

April 2013

Supporting documents

You must provide all of the documents listed below. If you do not we reserve the right to decide your application on the basis of the

information and documents provided.

All Documents must be originals. Documents must also be on the official letter-headed paper or stationery of the organisation.

Where a document is not in English or Welsh, the original must be accompanied by a fully certified translation by a professional

translator/translation company.

This translation must include:

- Details of the translator/translation companys credentials, and

- Confirmation that it is an accurate translation of the original document, and

- The translator/translation companys contact details.

Please note we may ask you to provide other documents in addition to those listed below.

Where you are providing documents for a family group, please collate the documents under the appropriate cover sheet.

Documents for Bishnu Pokhrel

For official use only

Evidence of identity - passport or travel document Evidence of identity

Current passport(s) or travel document(s). This document

is mandatory, if it is not submitted this application may be

rejected as invalid.

Passport/travel document

Biometric Residence Permit Evidence of identity

Biometric Residence Permit. This document is mandatory,

if it is not submitted this application may be rejected as

invalid.

BRP

Evidence of Identity - this document is mandatory, if it is not

submitted this application may be rejected as invalid.Photographs

Two passport photographs Passport photographs

Evidence of your maintenance - funds Miscellaneous

An original paper receipt from the sponsor Receipt

Evidence of your finances Evidence of funds

Your personal bank or building society statement Bank statement

Electronic bank statement stamped by your bank Bank statement

Evidence used to obtain your CAS Evidence of education

Original certificate(s) of qualifications Original certificate

Original transcript(s) of results Original transcript of results

Applicant declaration



PNN: PTAA10-3147-2894-57T1

WorldPay reference: 3424327975

The applicant must sign below to show that they have read and understood the following declaration. It must be signed by the

applicant personally and not by a representative or other person acting on their behalf. If the applicant is under 18, their parent or

legal guardian should sign on their behalf.

Declaration

The information given in my application is complete and is true to the best of my knowledge and belief.

The photographs of me submitted with this application are a true likeness of me.

The documents submitted to support my application are complete and correct to the best of my knowledge and belief.

I agree to cooperate with UK Border Agency officials, or any other person charged by the Secretary of State for the Home Office with

conducting pre-issue and post-issue checks in relation to this application.

If there is a material change in my circumstances or any new information relevant to this application becomes available before it is

decided, I will inform the UK Border Agency.

I am aware that the rules and requirements for applications may change in the future and that I should not assume the current rules

and requirements will continue to apply.

I agree to the UK Border Agency using the data provided in this application in accordance with its Information Charter. I understand

that my details may in certain circumstances be passed to other people, including fraud prevention agencies, to prevent and detectfraud, money laundering and other crimes. I also understand that the UK Border Agency may receive information about me.

Applicant's signature

Parent/legal guardian signature if

applicant is under 18.

Date


12/12

Next steps for your application

Collate your supporting documents together and post them with your official document to:

UK Border Agency,

Tier 4,

PO Box 500,

Durham,

DH99 1WJ

If you use Recorded or Special Delivery, this will help us to record the receipt of your document and supporting documents. Make

sure that you keep the Recorded or Special Delivery number.

What happens next?

We will write to you if any of the required supporting documents are missing or unsuitable.

Once we have received all of the required supporting documents, we will send you a biometric notification letter inviting you to

enrol your fingerprints and facial image, if required.

We will retain your supporting documents until your application has been decided. Please note that some applications may takelonger than others to consider. Our general advice is to not make any non-urgent travel arrangements until your passport(s) or

travel document (s) are returned to you, followed by your biometric residence permit if your application is successful.

Contacting us after you have applied

You must keep us informed of any changes to the information that you have provided, including changes of address.

If you need to write to us in connection with this application, please contact us using the details below:

Final checks for your application

To ensure that your application is complete, please make the following final checks. Tick each box that is relevant to your

application.

Have you signed and dated your declaration?

Have you collated your document and supporting documents for posting or taking to your public enquiry office

appointment?

Have you provided all of the required supporting documents, including certified translations of any documents not in

English or Welsh?

If you fail to include all parts your application may become invalid.