Student Enrollment Form -

1. Personal Information

First Name *

Family Name *

Phone *

Email Address *

Nationality *

Date of Birth *

Gender *

Desired Subject Name:

Desired Intake:

Native Language:

2. Address Information

Permanent Address(As in the passport)

Line 1 *

Line 2

City / District *

State / Province *

ZIP / Postal Code *

Country *

Current Address (if same as permanent address, tick here)

Line 1

Line 2

City / District

State / Province

ZIP / Postal Code

Country

3. Emergency Contact

(Give 2 contact details (minimum) of your immediate family members)

Contact One

Full Name *

Phone Number *

Email Address *

Relationship to you: *

Contact Two

Full Name *

Phone Number *

Email Address *

Relationship to you: *

4. Academic Information

Please feel free to add as much of your academic accomplishments by clicking the 'Add Academics' button at the end.

1. Academic Information

Country *

University / School Name *

Course / Class / Subject *

Level / Class / Standard Completed *

Start Date *

End Date *

Stream *

Grading Score (GPA / Percentage):

Result:

Have you appeared for any English language test in the last two years? *

English Language TestIELTSOETTOEFLPTE

Have you appeared for any other tests (Example GRE, GMAT, SAT, FRENCH, B1, B2) in the last two years? *

Have you applied for permission to remain in any other countries in the past ten years? *

Do you need a visa to stay in other countries other than your nationality? *

Have you had any visa rejections/ refused permission to stay or remain / refused asylum or deported? *

What percentage did you get for English exam in +2 / 12th std? *

5. Referral Details

(please mention the same as your Letter of Recommendation)

1. Referral Details

Prefix

Full Name

Position:

Work Email

Phone Number

How long has the person known you?:

Relationship to you:

Name of the Institution:

Address of the Instituion

Line 2

City

State / Province

ZIP / Postal Code

Country

6. Employment Details:

Do you have any work experience? *YesNo

1. Employment Details:

Job Title *

Name of the Institution: *

Address of the Institution *Line 1

Line 2

City *

State / Province *

ZIP / Postal Code *

Country *

Phone Number *

Work Email *

Start Date

End Date

Are you currently employed here?

7. Documents List:

(please upload the scanned pdf's)

(max size per file 2 MB)

1. CV / Resume *

No file chosen

2. Passport (front)

No file chosen

3. Passport (back)

No file chosen

4. 10th Grade mark list

No file chosen

5. 10th Grade pass certificate

No file chosen

6. 12th Grade mark list

No file chosen

7. 12th Grade pass certificate

No file chosen

8. Transcripts (UG mark list)

No file chosen

9. Transcripts (PG mark list)

No file chosen

10. UG Provincial certificate

No file chosen

11. UG Degree certificate

No file chosen

12. PG Provincial certificate

No file chosen

13. PG Degree certificate

No file chosen

14. Work Experience Letters

No file chosen

15. Work Experience Letters

No file chosen

16. Recommendation Letter 1 (Principal / Professor / Manager)

No file chosen

17. Recommendation Letter 2 (Principal / Professor / Manager)

No file chosen

18. Statement of Purpose

No file chosen

19. Other Certificates or Diplomas

No file chosen

20. English Language Test Result Certificate

No file chosen

21. Disability certificate

No file chosen

22. Visa Refusal Paper

No file chosen

23. OthersAny other document which could support your accomplishments

No file chosen

24. OthersAny other document which could support your accomplishments

No file chosen

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