UCT Student No. Passport number First name (as it appears in your passport) Last name (as it appears in your passport) Date of birth DD/MM/YYYY Nationality Visa date of application Country of application City of application Study permit / Receipt Ref number Visa type applied for Study course name (as noted on the faculty letter) UCT faculty - Select -HumanitiesEngineering and the Built EnvironmentLawCommerceHealth SciencesScience Visa duration applied for Level of study - Select -UndergraduatePostgraduate Do you have an estimated date by when your visa will be issued? If no – note N/A for not applicable Current visa expiry date (if any) If no – note N/A for not applicable Course duration Enrolled - Select -YesNo Are you a prospective or currently enrolled student? - Select -Prospective studentCurrently enrolled student Enrolment year Permit reference number Application date university CAPTCHA