Robson-Scott Travel Bursary
2012/13
Guidance Notes
INTRODUCTION
These bursaries were instituted as a memorial under the bequest of Professor W D Robson-Scott, MA,
DPhil, Lecturer in German 1939–61, Reader 1961–66 and Professor of German Language and
Literature 1966–68.
These bursaries are open to part-time undergraduate and part-time postgraduate students of any
discipline. Part-time students taking a period of full-time study are also eligible to apply.
The purpose of the award is to assist with the cost of travel outside the United Kingdom for a short
period of approved independent study. The value of the award will be according to the circumstances
of the successful applicants but not normally more than £100.
Applications should be sent to the College’s Student Financial Support Office by 31st May 2013.
ELIGIBILITY CRITERIA
You will be eligible to apply for an award if you satisfy ALL the following criteria:
You must –



Be enrolled on a part-time undergraduate or part-time postgraduate degree
Be planning to travel outside the UK for a short period of approved independent study
Be a ‘Home’ student
COMPLETING YOUR APPLICATION
1.
Please complete all sections of the application form.
2.
Please make sure that the form has been signed off by the Programme Director/Course
Administrator from your department whose has authorised the trip.
3.
Please also attach photocopied supporting evidence of your income. i.e. your P60 for the
2011-2012 Tax Year (including that of your partner/spouse if applicable), or a Self-Employed
Tax Return, or proof that you currently receive means-tested benefits.
PLEASE NOTE:
The DEADLINE for applications is 31st May 2013.
Please return the entire completed application form and supporting documents to the Student Financial
Support Office, Birkbeck - University of London, Registry, Malet Street, London, WC1E 7HX.
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Robson-Scott Travel Bursary
2012/13
Application Form
 You must read the accompanying guidance notes before you complete this application form.
 If you are not enrolled and/or your application form is incomplete, missing any pages or supporting
documents, or does not have your signature, your application will not be processed.
 Please return the completed application form and photocopied supporting documents to the Student
Financial Support Office, Birkbeck - University of London, Registry, Malet Street, London, WC1E
7HX.
 These bursaries are open to part-time undergraduate and part-time postgraduate students of any
discipline reading for a first or higher degree. Part-time students taking a period of full-time study are
also eligible to apply.
 The purpose of the award is to assist with the cost of travel outside the United Kingdom for a short
period of approved independent study. The value of the award will be according to the
circumstances of the successful applicants but not normally more than £100.
 The DEADLINE for applications is 31st May 2013.
Please write in BLOCK CAPITALS
1.
PERSONAL DETAILS
Student number:
Title: (please circle)
Surname/family name:
Address:
Mr / Mrs / Miss / Ms
First name(s):
Date of Birth:
Telephone (Day):
Postcode:
Mobile:
Email:
2.
PROGRAMME DETAILS
Which part-time programme are you studying at Birkbeck?
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3.
INCOME DETAILS
What is your status? (Please circle)
Single
Married
Partnered, living as a couple
How many dependent children reside in your household?
What were their ages as at 01/09/12?
Are you in receipt of any of the following benefits? (please circle)
Yes
Housing Benefit or Local Housing
Allowance
Council Tax Benefit
Income Support
New Deal Allowance
Income-Based Jobseeker’s
Allowance
Income-Based Employment and
Support Allowance
No
If you are not in receipt of the above benefits:
What was your gross income for tax year 2011-2012 as stated on your P60?
(please attach photocopied proof)
£
What was your partner’s gross income for tax year 2011-2012 as stated on their P60?
(please attach photocopied proof)
£
4.
PERSONAL STATEMENT
The purpose of the award is to assist with the cost of travel outside the United Kingdom for a short
period of approved independent study. The values of the award will be according to the
circumstances of the successful application but not normally more than £100.
Please state below how you wish to use the award.
5. THIS SECTION MUST BE COMPLETED BY THE PROGRAMME DIRECTOR OR SCHOOL
ADMINISTRATOR WHO HAS APPROVED THE INDEPENDENT STUDY.
I confirm that the School supports this student’s proposed independent study outside of the UK
Name of Programme Director or School Administrator authorising trip:
Signature:
Date:
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6.
BANK/BUILDING SOCIETY DETAILS
PLEASE ENSURE THAT YOUR BANK IS ABLE TO RECEIVE BACS PAYMENTS from Birkbeck. If not,
please contact the Student Financial Support Office.
Name of Account (this will normally be your
name):
Name of Bank/Building Society:
Sort code:
Branch title (e.g. name of town):
Account number:
7.
HOME STUDENT STATUS
Please tick ALL the statements below which apply to you

I am a British National and have a UK passport/British birth certificate
I am a National of an EU country other than the UK
I am an EEA Migrant Worker (I am exercising my right to work in the UK but have not lived in the
UK for 3 years before the start of my course.
I have been recognised by the UK Government as a Refugee and have Full Refugee
Status/Indefinite Leave to Enter/Remain (ILE/R) as a result
I have Indefinite Leave to Enter/Remain (ILE/R) in the UK
I have Exceptional Leave to Enter/Remain in the UK/Humanitarian Protection/Discretionary
Leave ELE/R/HP/DL
I have a ‘Right of Abode’ Certificate
None of the above apply to me
We need to know whether you were ordinarily resident in the UK for 3 years immediately before the start of
the first academic year of your course. The academic year normally starts on 1st September.
Please tick ALL the statements below which apply to you

I have been ordinarily resident in the UK for 3 years immediately before the start of the first
academic year of my course
I have not been ordinarily resident in the UK for 3 years immediately before the start of the first
academic year of my course
I have been ordinarily resident in the EEA for 3 years immediately before the start of the first
academic year of my course
I have not been ordinarily resident in the EEA for 3 years immediately before the start of the first
academic year of my course
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8.
DECLARATION
Please read the following statement and sign below to indicate your agreement.

I confirm that the information I have provided is correct to the best of my knowledge and I
consent to my data being processed by the College for the purposes of selection

I have read the Guidance Notes and have enclosed all the relevant documentation

I understand that the deadline for receipt of applications by the Student Financial Support
Office is 31st May 2013.

I agree to assist Birkbeck with the promotion of such awards by attending occasions such
as award ceremonies and donor recognition events

I also understand that if, subsequent to being offered an award, information I have provided
in support of my application is found to be incorrect, Birkbeck reserves the right to withdraw
my award, and this may also lead to disciplinary action by the College
Your name (CAPITALS):
Signature of applicant:
Date:
CONFIDENTIALITY
Applications are seen only by the Committee, Deputy Registrar and Student Financial Support staff.
DATA PROTECTION ACT 1998
Birkbeck College is a data controller in terms of the 1998 legislation. The Committee, Deputy Registrar
and Student Financial Support Office follow College policy in matters of data protection. The data
requested in this form is covered by the notification provided by the College under the Data Protection
Act. Personal data will be used solely in the College for statistical purposes and electronic records
keeping.
The data will not be passed to any third party without your consent, except when the College is
required to do so by law. Any formal enquiries concerning the use of data noted here should be
addressed to the Deputy Registrar.
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