Application for Leave Form

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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.

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