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STUDENT DETAILS
Student Details
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Full Name
*
Your answer
Preferred name, if different from above
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Non-Binary
Transgender
Intersex
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Prefer Not To Say
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Home Address (including postcode)
*
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Student Phone number
*
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Student Personal Email
*
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Nationality
*
Your answer
Ethnicity
*
Your answer
Religion
*
Your answer
Is English your first language?
*
Yes
No
Required
If 'No' was chosen in the above question, please record your first language below
Your answer
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