Student Information Form
Page 1
Your Preferred Location:*
Abu Dhabi
Australia
Bahamas
Canada
Caribbean
China
Cyprus
Denmark
Dubai
France
Germany
Hungary
India
Ireland
Italy
Japan
Latvia
Lithuania
Malaysia
Mauritius
Mexico
Netherland
New Zealand
Philippines
Poland
Portugal
Russia
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Slovenia
South Korea
Spain
Sweden
Switzerland
Ukraine
UK
USA (America)
Other
Preferred other City/ Country:
Degree of Interest:*
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High School
Certification Courses
Diploma Programs
Post Graduate Diplomas
Bachelor's Degree
Master's Degree
Post Graduate Degree
PhD/ Doctorate Degree
Area of Interest:*
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Accounting/ Auditing
Animation
Arts, Design & Fashion
Aviation
Banking/ Finance & Insurance
Beauty & Cosmetology
Business
Computers & I.T.
Culinary Arts/ Hospitality
E-commerce/ E-business
Engineering
Event Management/ Planning
Healthcare/ Nursing
Human Resource
Journalism & Mass Media
Law & Criminal Justice
Photography/ Film Production
Science
Teaching/ Education
Others
Preferred Start Date:*
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Immediately
1-3 Months
4-6 Months
7-9 Months
10+ Months
Preferred Institutes (If any):
1st Preference
2nd Preference
3rd Preference
4th Preference
Preferred Budget for Fees in Indian Rupees (per Study program):*
Are you Interested for an Education Loan?*
Yes
No
May Be
Page 2
Highest Education Qualification:
Level of Education*
Select
10th
10+2 (12th)
Graduation
Post Graduation
Master's
Diploma
Any other
Field/ Subject*
Year of Passing*
Percentage*
Backlogs (If any)
Board/ University*
International Test Scores:
Test Taken:*
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IELTS
TOEFL
GMAT
GRE
Other
Not Applicable
Not Attempted
Test Taken Date:
Reading
Writing
Speaking
Listening
India Entrance Exam Test Scores:
Test Taken:*
Select
AIEEE
JEE
GATE
NATA
CEED
NID
NIFT
NSD
ATMA
CEMAT
CAT
IBSAT
IIFT
JMET
MAT
NAT
NCHMCT
NMAT
OPENMAT
SET
WAT
AWES
XAT
AIPMT
AICEE
AFMC
Other
Not Applicable
Not Attempted
Test Taken Date:
Scores
Mention if any other Test Taken:
Test Taken Date:
Scores
Job Experience (If any):
Name of Employer:
Designation:
Salary:
From (MM/YYYY):
To (MM/YYYY):
Page 3
First Name*
Last Name
Date of Birth:*
Email:*
Mobile Number:*
Address:*
City:*
State:*
Zip Code:*
Country:*
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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Bangladesh
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Belarus
Belgium
Belize
Benin
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Botswana
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Canada
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Chad
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China
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Cook Islands
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Croatia
Cuba
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Czech Republic
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Denmark
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Dominican Republic
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Georgia
Germany
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Gibraltar
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Holy See
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Iraq
Ireland
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Italy
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Poland
Portugal
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Samoa
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Singapore
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Slovenia
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South Sudan
Spain
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Sweden
Switzerland
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Tajikistan
Tanzania; officially the United Republic of Tanzania
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Turkey
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Ukraine
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Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
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Marital Status*
Married
Single
Spouse Name
Date of Marriage:
Spouse Occupation
Spouse Qualification
How did you hear about Us?*
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Facebook
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