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Date*

Student Name*

Date Of Birth*

Contact Number*

Parent's Contact Number*

Email Address*

Address

Course Preference*

Intake Preference*

Indicative Budget*

No. of Backlogs*

IELTS/PTE/ToEFL*

SAT/GMAT/GRE (If taken) (Verbal, Quantitative and A.W. Scores to be mentioned separately) *

Gap between educations (if any)*

Reason for gap (mandatory)*

Work experience*

Job Description *

Duration Form*

Duration To*

All Work Experience Letters available:*

Yes:

No:

All Relieving Letters available :*

Yes:

No:

Marital Status*

Date of Marriage*

Qualification of Spouse *

Employment status of Spouse*

No. of Kids*

No. of dependents accompanying applicant: *

Comments (if any) *

Visa History:

Have you or your spouse applied for any visa prior to this? :*

Yes:

No:

Have you or your spouse had any previous visa refusal? :*

Yes:

No:

Mention the Institutions with Countries where you have already applied & the outcome:

Any Other Important Note::

Note: Please fill in all the details mandatorily which will help us to give correct advice.