COPY FOR IO

FULL OFFER

ENGLISH PLACEMENT FORM CONDITIONAL OFFER

Name of student (M/F):BASHIR AHMED ELBASHIR IBRAHIM

_____________________ Nationality: SUDAN
_________________
Passport No: P08956926
_____________________ Student ID: SUKD2400028
_________________
Tel. No: _____________________ Email: Bashirbadrean@gmail.com
_________________
Programme applied: BBM-UCLAN
_____________________ IEP Intake: 202403
_________________
Expected to complete IEP: ___________________ IM Counselor: _________________

INTENSIVE ENGLISH PROGRAMME

English Place Test taken on ______________________________________________________

EPT outcome:
Student completed / exempted from IEP.
Student is completed / exempted from IEP but pending fulfillment of English Requirement
(IELTS/TOEFL/MUET) – Student registers under English Preparatory Workshop (EPW)
Student is required to study the following level (s):

Elementary 1 Intermediate 1 Upper-Intermediate 1

(Level 1) (Level 3) (Level 5)

Elementary 2 Intermediate 2 Upper-Intermediate 2

(Level 2) (Level 4) (Level 6)

Centre For Languages signature and stamp: Date: 11/3/2024

Declaration by Student:

I _________________ hereby agree to take up the Intensive English Programme levels (IEP) assigned to me. By signing this
form, I am indicating that I also understand the following:

• there is a fee charged for this programme and I agree to pay this fee as soon as possible. I understand that I
will not be allowed into IEP classes until the fee is paid.
• If I were to withdraw from the IEP without completing all the levels assigned to me, I understand that I will
not be refunded for the uncompleted levels.

Signature of student: ______________________________________ Date: ___________________________

 COPY FOR IO

For CENTRE FOR LANGUAGES Use Only

Copies given to:
Bursary
Registry
HoD – School / Faculty ____________________________
International Office – Operations and Marketing

For BURSARY Use Only

Student has completed payment for the following items and may proceed to collect textbooks from Centre For Languages:
• Administration fee
• Registration / Lab / Facility charges

Bursary signature and stamp:

Receipt No: Date:

For CENTRE FOR LANGUAGES Use Only

The following books have been issued:

Mindset For IELTS Complete IELTS Complete IELTS

Found Stud Bands 4-5 Bands 5-6.5

Centre For Languages signature and stamp: Date:

Vers 1/2020