POINTS BASED SYSTEM FORM (VAF9 OCT 2009)
APPENDIX 4: TIER 1 (POST-STUDY WORK)
SELF- ASSESSMENT
This form is for use outside the UK only.
This form is provided free of charge.
For official use only
READ THIS FIRST
This form must be completed in blue or black ink.
Only complete after you have obtained your points score from the electronic Self-Assessment
Points Calculator ([Link]/pointscalculator ). Please follow the guidance notes carefully
and complete all questions as indicated.
Please ensure you submit all relevant, original documents as indicated in the sections. It is better to explain why you
do not have a document than to submit a false document. Your application will be automatically refused, and you
may be banned from coming to the UK for 10 years if you use a false document, lie or withhold relevant information.
You may also be banned if you have breached immigration laws in the UK.
Please ensure you also complete the main Personal Details form.
Part 1 About you
1.1 Given name(s)
1.2 Family name
1.3 Occupation (this your current or most recent job)
Attributes: You need to score a total of 75 points from Parts 2 - 5. You should refer to the Immigration Rules and Tier 1 (Post-Study
Work) Policy Guidance.
Part 2 Qualifications [20 points available]
2.1 Confirm which qualification you hold. Put a cross (x) in the relevant box
United Kingdom recognised degree at Bachelors level United Kingdom recognised degree at postgraduate level
United Kingdom postgraduate certificate in education Higher National Diploma (HND) from a Scottish institution
Professional Graduate Diploma
2.2 Provide details of your qualification.
Qualification Full postal address of Institution where studied,
including postal code
Subject
Awarding body
Institution where studying
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2.3 Provide contact details of your personal tutor.
Name Address including postal code
Telephone number
Email address
2.4 Confirm that you have included the required original evidence detailing the qualification for which you are claiming points.
This is limited to only one qualification. Put a cross (x) in the box
Original certificate of award >>>>>>>>>>>>>>>>>>>>>>>>>>>
Part 3 Institution [20 points available]
3.1 Is the United Kingdom Institution where you studied for your eligible qualification a United Kingdom recognised body, a
United Kingdom listed body or does it hold a sponsor licence under Tier 4 of the Points Based System?
Put a cross (x) in the relevant box
Yes - Go to Question 3.2 No - Go to Question 3.3
3.2 Confirm you have sent an original letter from the academic institution as evidence that the United Kingdom institution is either a
United Kingdom recognised body, listed body or holds a sponsor licence under Tier 4 of the Points Based System. Put a cross (x) in the box
Original letter from academic institution >>>>>>>>>>>>>>>>>>> Go to Part 4
3.3 Are you claiming points for an HND from a Scottish institution? Put a cross (x) in the relevant box
No - You cannot claim points for this part and should
Yes - Go to Question 3.4
not proceed with this application
3.4 Confirm you have sent an original letter from the academic institution as evidence that you studied for your HND at a Scottish
publicly funded institution of further or higher education, or at a bona fide Scottish private education institution that maintains
satisfactory records of enrollment and attendance. Put a cross (x) in the box
Original letter from academic institution. You will be unable to score points for the institution if you have not also provided the >>>>
evidence specified in Question 2.4
Immigration Status in the United Kingdom During Period of Study and/or Research
Part 4
in the United Kingdom [20 points available]
4.1 Give the period during which you studied and/or undertook research at this institution towards the above qualification.
Start date D D M M Y Y Y Y End date D D M M Y Y Y Y
4.2 Put a cross (x) in the relevant box to confirm your immigration status in the United Kingdom during the above period of study
and or research.
Student (Paragraphs 57-62 of the Immigration Rules) Student nurse (Paragraphs 63-69 of the Immigration Rules)
Student re-sitting examinations (Paragraphs 69A to 69F of Student writing up a thesis (Paragraphs 69G to 69L of the
the Immigration Rules) Immigration Rules)
Dependant of someone with leave in any category
permitting the admittance of dependants
Other - State which >>>>
4.3 Confirm you have included your original passport/s or travel document/s to prove that you periods of study and/or research
towards your eligible qualification were undertaken whilst you had entry clearance, leave to enter or leave to remain as a main
applicant or dependant in the United Kingdom.
Put a cross (X) in the box to confirm you have provided original passport/s or travel document/s showing relevant grant/s of leave >
for the period that you studied and/or undertook research towards your eligible qualification in the United Kingdom.’
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Part 5 Date of award of qualification [15 points available]
5.1 You must make the application for entry clearance within 12 months of obtaining the relevant qualification.
Put a cross(X) in the box to confirm that you have provided a letter confirming that you obtained your eligible qualification in the >>>
12 month period immediately before submitting this application.
Part 6 English Language
6.1 There is no specific English language requirement for Tier 1 (Post-Study Work). If you score 75 points under the attributes
section of this application you will be awarded 10 points for English language.
Part 7 Maintenance - Refer to the Tier 1 (Post-Study Work) Policy Guidance
You must have a minimum level of funds to score 10 points for your level of funds. If you do not score 10 points your
application will be refused. You must have £2,800 available funds for yourself plus £1,600 for each dependant accompanying
you or intending to join you in the United Kingdom within 12 months of your arrival in the United Kingdom. This money
must be held in your personal bank account for at least 3 months before the date of your application and not fall below the
required amount at any time during that period. Refer to the Tier 1 (Post-Study Work) Policy Guidance.
7.1 Calculate the amount of funds required for >>>>>> 7.2 Put a cross (x) in the box to confirm that you have
you and the dependants named in the Personal Details this amount of funds available and that it has been in
part of this application form and enter the amount here. your personal bank account for at least 3 months prior
to your making this application.
7.3 Put a cross (x) in the relevant boxes to indicate what evidence of these funds has been supplied. All documents must
be original.
Building society/savings account pass book Personal bank or building society statements covering
a 3 month period
Letter from a bank or building society confirming funds and Letter from a regulated financial institution confirming funds
that they have been in your bank for at least 3 months and covering a 3 month period
7.4 Put a cross (x) in the box to confirm that you have claimed 10 points for your level of funds >>>>>>>>>>>>>>>>>>>>>
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Part 8 Summary Sheet
Please complete the summary sheet below listing the points you have claimed and the documentation provided. You must provide the
required evidence as specified in this application form and the Tier 1 (Post-Study Work) Policy Guidance. All documents must be original,
unless otherwise stated. Failure to submit required evidence is likely to lead to refusal of the application.
Points Scoring Area Points Claimed Documents Provided (please list)
Qualification (Part 2)
Institution (Part 3)
Immigration status in the United Kingdom
during period of study and/or research in
the United Kingdom (Part 4)
Date of award of qualification (Part 5)
Maintenance (Part 7)
Total
I confirm I have completed the Personal Details separate form and accept the contents of the declaration.
Applicant’s signature Date
D D M M Y Y Y Y
YOU MUST SUBMIT A PAPER COPY OF THIS APPENDIX WITH YOUR SUPPORTING DOCUMENTS.
ENSURE YOU ALSO COMPLETE THE PERSONAL DETAILS FORM EITHER ON PAPER OR ON LINE.
YOU SHOULD SIGN THE DECLARATION AND SUBMIT THIS WITH YOUR OTHER DOCUMENTS’
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