BIMM APPLICATION FORM 2020, 2021 and 2022 ENTRY

BIMM APPLICATION FORM 2020, 2021 and 2022 ENTRY

Please note compulsory elements within form
Which course would you like to apply for? *

Diploma Degree

Date of audition

Month Day Year
(if known)
Title *
Mrs/Mr/Ms/Other
Applicant Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Gender *
Address *

Home Address Line 1

Home Address Line 2

City

Postal / Zip Code
Phone Number *

Area Code Phone Number
E-mail *
Nationality *
(as on Passport)
Dual Nationality
(if applicable)
Country of Birth *
Country of Domicile *
How long have you domiciled in this country? *
For example = Since birth or 19 years
Have you studied on a full time course in the UK previously? *
Yes or No
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(Parent/Guardian/Partner/Spouse)
Name *

First Name Middle Name Last Name
Relationship to applicant *
E-mail *
example@example.com
Phone Number *

Area Code Phone Number

The British and Irish Modern Music Institute (‘BIMM’) is the Data Controller for the personal data you disclose via this form. The information you have provided will be stored on file and included in any offer/contract you receive from the British and Irish Modern Music Institute (“BIMM”). Details of any potential offer, contract and Student ID Number will be sent to you via email.

Please tick this box to confirm you are happy for this information to be sent to you by e-mail.
By applying to BIMM, you agree that we may pass your details to third party partners whom will contact you to assist in finalising your application.

‘I confirm that the information provided on this form is accurate to the best of my knowledge’.
Signed (Applicant)

Clear
Signed (Parent/Guardian if under 18)

Clear

Supporting Documents

Please upload any documents in support of your application.
Please note this is not compulsory but may help speed up your application. For example this could include certificates, English Language qualifications, copies of passport etc

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