Student ID card application First name: Samia Last name: Khan Date of birth: 09/10/1992 Address: 5 Ledger Road, Cardiff Postcode: CF10 5RE Nationality: Canadian I declare that the information provided is correct. Signature: Samia Khan Date: 28/02/2019 Your checklist – have you got everything you need? [ ✔ ] a passport photo [ ✔ ] a copy of your passport or other photo ID [ ✔ ] proof of student status e.g. a letter from your university Your card will be issued within 30 days and sent to the address provided.