DURHAM CONSTABULARY

FOR OFFICE USE ONLY Cert no Date of Issue Issued at Receipt no

... Signature New Registration (please tick):

Change of Details (please tick):

REGISTRATION DETAILS cash .................. change ..................

Surname/family name: YUNG Nationality: HONG KONG D.o.B: 1,October,1994 Place of birth: Hong Kong Given Name: Shu Sum Religion/Belief: NO Male

Female

Address in UK: 53M, Van Mildert College, Mill Hill Lane, Durham Post Code: DH1 3LQ UK phone/mobile no: Any previous addresses in UK: E-mail address: samyung@outlook.com

Address in own country: Hong Kong Ma On Shan,Villa Oceania Flat 3 9 Floor Block D

Post Code:

Phone no in own country:

96577813

Occupation/job (including student) in own country: Student Name of employer/university in own country:

Which airports did you travel through to get to the UK? For example Beijing/Amsterdam/Newcastle Newcastle Are you Single Married Divorced No Date of marriage (if married):

Do you have children Yes Husband/Wifes date of birth:

Y Husband Wifes Name:

Passport and Cert No: Durham University

University/College where you are studying in UK: Tutor contact: Petra Points Van Mildert College Subject you are studying (including dates from & to) Phd thesis title:

Economics (2013-2016)

Who sponsors you to study & pays your fees/financial support (proof of sponsor): Parents Student No: 1096845502 How long will you study in the UK: 3 Years

What will you do when you have completed your studies: Work

Place of employment: Work permit number: Valid from:

Job title: Worker reference number: Valid to:

Passport number: K01695786 Expiry date: 02 JUL 10 Leave to remain: Date of arrival: Date granted: 26 SEP 2013 13/

Place of issue: MANILA Arrival number: 009218107 Port of arrival: NEWCASTLE I.O: 6003

Issue date:

02 JULY 15

Code/Tier: TIER 4 AX9F58DW0

Code/Tier:

BID number:

Additional Information (address, marital status, etc)