All fields marked with an * are required.

Please allow five working days for a response

Your Given Name(s)*

Your Surname*

Your Email*

Date of Birth (DD MM YYYY)*



UCL Student Number

Are you currently registered to study at UCL*

If yes, please provide the following:

Level of Study*


Programme Start Date (DD MM YYYY)

Programme End Date (DD MM YYYY)

Do you currently hold a UK visa*

If yes, please indicate your visa type*

If you selected other, please indicate which visa type

Visa Start Date (DD MM YYYY)

Visa End Date (DD MM YYYY)

Are you currently in the UK*

If you are not in the UK please indicate which country you currently reside in*

Please give a brief description of your enquiry [1500 character limit]*

Data Protection Act

To help deal with your case the Student Immigration Advice and Compliance Team record details of you and your case, which may contain what is known as personal and sensitive data.

Personal data is data which can be used to identify you for example your name, date of birth, address, telephone number etc.

Sensitive data is information related to any of the following: racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.

Under the Data Protection Act we are required to let you know how we use that data, and ask your permission. The record of your case is kept in our electronic case management system, which is held by Student and Registry Services.

We will always give you a copy of everything in your case record if you request it.

Can I withhold my consent?

Yes. We will not record your information unless you provide your consent.

We will not share your information with anyone else without your consent, unless required to do so by law.

I consent to the Student Immigration Advice and Compliance Team storing my data as part of the files for my case*


I confirm that the information given above is true and accurate*

I understand that the advice given to me will be appropriate to the information provided by me from the questions asked*

I understand that I will receive a response within 5 working days of submitting this request form*