As they appear on your passport / birth certificate.
Preferred name
The name you would like to be known by.
As it appears on your passport / birth certificate.
Email address
Be careful to check that your email address is correct before submitting your application. This should be your personal email address rather than your school email address.
Confirm email address
This needs to be between 5 and 16 characters long.
Confirm password
Date of birth
Home address
If you are applying from outside of the UK, please use CB2 8PX as a placeholder in ''Postcode'' (international postcodes are not recognised).
Home phone number
Mobile phone number
Long Road students