Welcome to the Old Centralians' Trust Application Portal

First name

Surname

Email

College ID number (CID)

Nationality

Date of birth

Contact address

Department

Course or research group name

Degree type

Date course starts

Date course finishes

Previous degrees (optional)

Please input your password

Please confirm your password

I consent to provide the Old Centralians' Trust ("the Trust") the information above to enable the Trust to process my application for funding.

I consent to the Trust passing on my personal information to Imperial College in order to verify that I am a registered student at Imperial College.

I agree to ensure my personal information is kept up-to-date.

I understand that the Trust will delete all my personal information except my name, department and my course start/finish dates when I complete my course at Imperial College.

I reserve the right to request that my personal information be deleted from the Trust's records after my application has been closed by the Trust.