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Application for Leave Form

Please note:   The copy & paste feature is not available in this form
Students who are studying at Middlesex University on a Tier 4 visa and would like to apply for any type of leave are required to submit this form prior to leaving the UK
1: Personal details

Enter Student Number
*
First Name *
Surname *
School *
2. Leave details
Date leaving the UK *
Date returning to the UK *
Address when out of the UK *

3. Reason for change of study location *

You must have ethical approval to conduct fieldwork. If you don’t have ethical approval, please discuss this with your supervisory team as soon as possible.
5. Supervisory record form (SRF)

Please note that you will need to keep in regular contact with your supervisor while you are studying away from the university. As you are on a Tier 4 visa, we will need evidence of your engagement with your studies and so we require you to send a monthly supervisory record form to researchdegrees@mdx.ac.uk . You will find a copy of this form here
6. Declaration
On the submission of this form you will receive an email confirming receipt. We will be in contact with your supervisory team to confirm authorisation of your change of study location. We will be in touch once approval has been granted.

MDX Privacy Statement : Unihelp take your privacy seriously and will only use your personal information to administer your account on our help system and to provide the services you have requested from us. For more information please see the university privacy policy here

 
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