Name:
Date of Birth:
Gender: —Please choose an option—MaleFemaleOther
Email:
Phone Number:
Nationality:
Current Country of Residence:
Passport Number:
Passport Expiry Date:
Highest Level of Education Completed: —Please choose an option—High SchoolUndergraduate/Bachelor's DegreeGraduate/Master's DegreeDoctorate/PhD
Qualifications: —Please choose an option—WAECNECOOthers
Name of Last Institution Attended:
Country of Last Institution Attended:
Field of Study:
Graduation Date:
GPA/Grades:
Level of Study Applying For: —Please choose an option—Undergraduate/Bachelor's DegreeGraduate/Master's DegreeDoctorate/PhD
Preferred Field of Study:
Preferred Country of Study: —Please choose an option—United StatesCanadaUnited KingdomAustraliaGermanyOther
Preferred Universities/Colleges:
Intended Start Date:
Have you taken any English proficiency tests? [radio* english-test "Yes" "No"]
If yes, which test(s) have you taken? TOEFLIELTSPTEOther
English Test Score:
Test Date:
Are you planning to take an English proficiency test? YesNo
If yes, which test?
Expected Test Date:
Do you have sufficient funds to support your studies? [radio* financial-support "Yes" "No"]
Estimated Total Funds Available (USD):
Source of Funding: Personal SavingsFamily SupportScholarshipBank LoanOther
If other, please specify: Have you applied for a student visa before? [radio* visa-applied "Yes" "No"]
If yes, please provide details:
Have you ever been denied a visa? [radio* visa-denied "Yes" "No"]
If yes, please provide details: Do you require accommodation? YesNo
Do you require a health insurance plan? YesNo
Additional Comments or Questions: I confirm that the information provided is accurate to the best of my knowledge: I agree
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Report for 2016 1.7 KB
Our Brochure 1.25 KB