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Registration
Matthew Beedle
2023-06-13T12:51:59+00:00
Registration
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Personal details and contact information
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Step
1
of 8
Title
*
Mr
Mrs
Ms
Miss
First Name
*
Middle Name
Last Name
*
Gender
*
Male
Female
Email
*
Date of Birth
*
Ethnic Origin
*
White
Black - Caribbean
Black - African
Black - Other
Asian - Indian
Asian - Pakistani
Asian - Bangladeshi
Asian - Chinese
Asian - Other
White/Black Caribbean
White/Black - African
White and Asian
Other Mixed
Other
Not Known
Information Refused
Have you applied for the University of Birmingham before?
*
Yes
No
If yes, please state your ID number
Address Line 1
*
Address Line 2
*
City
*
State/Province/Region
*
Postal Code
*
Country
*
United Kingdom of Great Britain and Northern Ireland
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Home Number
*
Mobile Number
*
Next
Name of Employing Golf Establishment
Club Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Club telephone number
Your Handicap
*
+6
+5
+4
+3
+2
+1
0
Professional
1
2
3
4
5
6
7
8
Maximum Handicaps: Men, 6.4. Women, 8.4.
What is your CDH number?
Please fill out this part of the form unless you have professional status
Please upload your latest CONGU handicap certificate
Click or drag a file to this area to upload.
Please upload your forms here unless you have professional status.
upload your previous 12 months playing history
*
Click or drag a file to this area to upload.
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Nationality
*
If you have dual nationality please state your second nationality
Country of birth
*
Country of permanent residence
*
UK/EU National only - Have you, apart from holidays, lived in the UK continuously in the UK or EU for the past three years?
Yes
No
If no, in which other countries have you lived? Please give details and dates
If you answered yes to the previous question please put N/A.
If you are a non-EU national with indefinite leave to remain in the UK please attach documentary proof e.g. photocopy of a letter from the Home Office
Click or drag a file to this area to upload.
If you are a non-EU national do you require a Visa to study in the UK?
Yes
No
If yes, please provide your passport number
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Please list grades that meet the minimum requirements
*
Please upload any academic certificates you have
*
Click or drag files to this area to upload.
You can upload up to 100 files.
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Please select the level of highest academic qualification you currently hold.
*
1. UK doctorate degree
2. Non-UK doctorate degree
3. UK Masters degree
4. Non-UK Masters degree
5. Integrated Masters degree
6. Postgraduate Diploma
7. Postgraduate Certificate
8. Other qualification at Masters/Postgraduate level
9. UK Bachelors degree
10. Non-UK Bachelors degree
11. Foundation Degree
12. Undergraduate Diploma
13. Undergraduate Certificate
14. Other qualification at undergraduate level
15. Level 3 qualifications where ALL are subject to UCAS Tariff (e.g. A Levels, level 3 BTEC, International Baccalaureate)
16. Level 3 qualifications NOT subject to UCAS Tariff (e.g. further education foundation course, international A levels)
17. Level 3 qualifications, of which some are subject to UCAS Tariff
18. Other qualification at level 3
19. Level 2 qualifications (e.g. GCSEs)
20. Qualification level not known
Options 1 to 14 must have been obtained in a higher education setting. Please only select option 20 - Not Known if none of options 1 to 18 apply
If you selected options 15 to 17 Please provide the details of the level 3 qualifications you have obtained in the space below. For each qualfication, please list; Type (e.g. A level, International A level, BTEC Diploma, BTEC Certificate et.), Subject (e.g. English, Maths etc), Year obtained Grade
Please provide the name of the last academic institution you attended
*
If this is an institution in the United Kingdom, please also provide the address and postcode of its main campus
Have you ever started a higher education course (Above A Level or equivalent) in the UK before and if so, did you attend this course for longer than 6 months?
*
Yes
No
Do any of your parents have any higher education qualifications such as a degree, diploma or certificate of higher education?
*
Yes
No
Don't Know
Information Refused
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Next
The University of Birmingham and The PGA have long been committed to supporting students with disabilities, including dyslexia and other health conditions. In order to allow us to provide the best available support for you we need to know about the nature of your disability and how it might affect your training. This will not affect judgements concerning academic suitability for the course, and will be treated confidentially. It will enable data to be collected from which the progress of equal opportunities for disable students in higher education can be monitored. Please select the most appropriate from the below:
*
None
Specific learning difficulties e.g. dyslexia
Blind or partially sighted
Deaf or hard of hearing
Wheelchair user or mobility difficulties
Personal care support
Mental health difficulties
Unseen disability e.g. diabetes
Multiple disabilities/Special needs
Disability/Special need not listed
Autistic spectrum disorder
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Data Protection. I agree that information relating to my training may be released to the University of Birmingham and my employing Professional.
*
Clear Signature
As a professional body, the PGA takes protection of personal information seriously. We will hold information relating to you and strict accordance with the Data Protection Act 1998. The information we hold on you will be shared with the University of Birmingham and will be used solely for the purpose of your training and will not be sold or passed on to third parties, either by the PGA or the University of Birmingham.
We may share your contact information for marketing purposes with a legitimate third-party organisations that are involved with and/or support the Association. Contact by these carefully selected groups maybe by post telephone fax or email. Would you like to be contacted by these carefully selected groups?
Yes
No
Criminal Records Bureau Check. I agree to the appropriate DBS check been carried out and will forward the necessary documentation within 14 days of receipt of my application acceptance letter. (Please note: DBS reports highlighting policing records cautions reprimands final warnings or convictions may not necessarily by you for entering the Training Programme.
*
Clear Signature
You are required to complete a disclosure application form for the PGA to undertake an enhanced check (Disclosure and Barring Service (DBS), Protecting Vulnerable Group Scheme or, Garda Vetting as applicable) on your background prior to undertaking the Training Programme. A Criminal Records Bureau Disclosure Application Form and Guidance Notes will be sent to you when your application has been accepted. You are required to complete, sign and return this form together with the necessary enclosures.
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Required by the University of Birmingham.
*
Clear Signature
I declare that the information I have given is true and complete and, being admitted to be a student at the University of Birmingham, promise to obey the Charter, Statutes, Ordinances, Regulations and Codes of Practice to submit to discipline and uphold its honour and credit to the best of my ability, both while a student and if admitted to a degree as a graduate. I understand that any mis-statement by me about my qualifications or circumstances may lead to the termination of my registration as a student. I agree to the University of Birmingham processing personal data obtained as part of online registration, or other data that the University may obtain for me or other sources in accordance with the Data Protection Act 1998. I agree to the processing of such data for any purposes connected with my studies, my health and safety, or any other legitimate reason and to the publication of my degree classification and my studies. I understand that my academic data may be disclosed to organisations acting as my sponsor.
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