Confirmation of Clearing Acceptance form

Confirmation of Clearing Acceptance (CCA) form

You are completing this form because have received an unconditional offer from us through Clearing.
To confirm your acceptance of this offer and to enable us to complete our final checks and notify UCAS on your behalf, please provide the information requested below.
Applicant information
About you
I confirm that I am not already in the UCAS system
I confirm
Title
Name

First name

Last name
Email
Date of birth

Please enter your date of birth in day/month/year format
I describe my gender as:
ManWomanI prefer another termPrefer not to say
Your address
Please complete all fields
Address line 1
Address line 2
City/town
County
Postcode / zip code
Country
Contact phone number
Area/country of permanent residence
Country of birth
Nationality
Dual nationality
Visa and citizenship details
If you state that you do need a visa to study in the UK, please complete this section in full, otherwise after completing the required fields, you can move onto the next page.
Do you require a visa to study in the UK?
YesNo
Are you an EU/EEA/Swiss citizen?
YesNo
If you do require a visa, please enter your passport number:
If you do require a visa enter your passport issue date:
If you do require a visa enter your passport expiry date:
Date of first entry to live in the UK (please supply in dd/mm/yyyy format)
If YES, do you have Pre-Settled or Settled Status under the UK Government’s EU Settlement Scheme?
YesNo
If YES, please provide your share code for this web page so that we can verify your status: https://www.gov.uk/check-immigration-status
Please provide details of any disabilities/special needs or support you require - so that so we can help you to get the most out of your time at university
Name of organisation/individual expected to pay your fees.

Course details
You can check details of the course in your offer email, or, by using our course finder found at www.brighton.ac.uk/courses
UCAS course code (4 characters)
Course title (as stated on our course description)
Point of entry (Year 0, 1, 2)

Details of qualifications obtained,
Please note: It is extremely important that you fill this section in accurately.
When you have finished entering your qualifications, press the 'next page' button at the bottom to move on.
What you *must* supply for *each* qualification:
You must supply full details for each qualification, including:
1. 1. The qualification type
2. 2. The subject
3. 3. The dates you started and finished the course
4. 4. The school / college
5. 5. The attendance mode (full-time/part-time)
6. 6. The result/grade you received
A level / BTEC / CTEC or equivalent level 3 qualifications
GCSE or equivalent level 2 qualifications
Any other relevant qualifications (please check your course requirements)

Work experience
Please outline any previous work experience below.
If you have none to enter, you can skip to the next screen by using the 'next page' button at the bottom of this page.
If you do have jobs to enter, once you have filled in any relevant details please press the 'next page' button at the bottom to move to the next screen.
Job 1: Title
Job 1: Name of organisation worked at
Job 1: Start date
Job 1: End date
Job 1: Type of work
Full timePart time
Job 2: Title
Job 2: End date
Job 2: Start date
Job 2: Start date
Job 2: Type of work
Full timePart time
Job 3: Title
Job 3: Name of organisation worked at
Job 3: Start date
Job 3: End date
Job 3: Type of work
Full timePart time

In order to submit your application, you must check the box below to confirm that:

I confirm that the information given on this form is true, complete and accurate and no information or other material information has been omitted. I accept that if this is not the case, UCAS shall have the right to cancel my application and I shall have no claim against UCAS or any other higher education institution or college in relation thereto. I give my consent to the processing of my data by UCAS and educational establishments. I also accept that, having completed and signed the form, I do not have the right to further choices within the UCAS scheme and will not approach any other university or college in the UCAS scheme.

I confirm

Date of application

Please make sure you read our privacy notice
I confirm that I have read the privacy notice and understand that my data will be processed in accordance with it.
Yes I confirm
Your rights
You have the right to cancel this application. If you decide not to take up your place you must do this by informing the University of Brighton as soon as possible

Confirmation of Clearing Acceptance form

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