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SOAS, University of London Thornhaugh Street, Russell Square, London WC1H 0XG Application to Study an Intercollegiate Course at SOAS: 2013-14 (Not to be used by joint degree students) IMPORTANT: Please read the intercollegiate regulations overleaf before completing the form Family Name (block letters): First name: Mr/Mrs/Miss/Ms Permanent Home Address: Date of Birth: Home E-Mail: Address while attending SOAS: Telephone no: University E-Mail: Course(s) you would like to study at SOAS: COURS E TITLE COURSE NUMBER & VALUE NAME OF TUTOR Please tick the box of the participating University of London college at which you are registered: Birkbeck London School of Economics Goldsmiths Heythrop King’s College London Queen Mary School of Advanced Study Institute University College London Main Course at your own College of the University of London: Title of Degree: BA BSc LLB MA MSc LLM MMus Degree Subject(s): Name of tutor/supervisor: Date of first registration at your college: Full-time or Part-time If you have previously attended a course of any kind at SOAS, state dates and course(s) taken: UNDERTAKING TO COMPLY WITH REGULATIONS I, the undersigned, undertake to comply with the Regulations of SOAS as laid down from time to time by, or with the authority of, the Governing Body. Date: Signature: INTERCOLLEGIATE REGULATIONS: 1. As a student from another University of London college you can register as an intercollegiate student at SOAS only if: (a) you are currently registered for a University of London degree at a participating college and the course you wish to follow at SOAS will form part of your degree programme. (b) permission for you to attend a course at SOAS is given by the appropriate academic authority at your home College. (c) permission for you to attend a course at SOAS is given by the appropriate administrative authority at your home College to confirm that they will pay the tuition fee. Your College must indicate your tuition fee status - SOAS will assume and charge your College at the "Overseas" rate if no information is given. Fees are charged pro rata at the relevant standard SOAS undergraduate or Master’s fees rate. 2. When all the boxes of the application form and sections A and B on this page are completed: • take the form to the relevant SOAS academic department/centre for the course(s) you wish to attend. The department/centre will complete section C if they wish to accept you as an intercollegiate student. You must provide proof of your registration status at your college. • then take or send the form to the Associate Student Section , Admissions, Room G1, Russell Square to complete registration. 3. Please note that you must complete this application process before you begin your course at SOAS. A new form must be completed for each academic year. 4. You may only attend courses you have been registered for . Continued attendance is conditional upon your satisfactory academic performance and compliance with the School’s regulations. AUTHORISATION STEPS: A. HOME COLLEGE ACADEMIC AUTHORISATION Authorisation of the appropriate academic authority at the home college that the student named overleaf can study the named course/s at SOAS as part of his/her University of London degree programme ( note 1(b)above ). Name: Signature: Designation: Date: B. HOME COLLEGE A DMINISTRATIVE AUTHORISATION Authorisation of the appropriate administrative authority of the home college, confirming acceptance of the relevant tuition fee charge for the courses detailed overleaf ( see note 1 (c) above ). This section must be completed for ALL students (including those covered by bilateral arrangements). Fee Status of Student: Home/EU Overseas Year Commenced Degree: 20__/20__ COLLEGE STAMP Name: Signature: Job Title Date: C. SOAS DEPARTMENT /CENTRE AUTHORISATION Authorisation by SOAS member of staff accepting this student for intercollegiate studies as detailed overleaf. IMPORTANT: The form overleaf and Sections A and B above must be fully completed and the student should have shown you their home college identity card before signing. ID CHECKED Name: Signature: SOAS Dept/Ext: Date: D. SOAS ASSOCIATE STUDENT SECTION AUTHORISATION (Room G1, Russell Square) All parts of this form must be complete and correct. Library Authorisation issued: Signature of Registering Officer: …………………………………….….. Date: ………………………………. .

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