Student Intake Form

Full Name as per your passport:

Permanent Address (as per your passport)

Email:

Alternate Email

Phone number with your country code:

Alternate Phone Number

Your Nationality / Country of Birth:

Date of birth (dd/mm/yyyy):

Gender:

Male

Female

Passport Number (optional) Passport number is optional, but strongly recommended:

Passport expiry date (optional) ensure your passort is valid:

Recent / Current Qualification

Passed or Appearing

Qualifications or degrees you are interested in:

Area of Studies

Countries you interested in:

Services you are interested in:

Message (any particular choice of university / college)

Let’s talk!