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1
Personal Information
First Name
Last Name
Email Address
Phone (w/ Country Code)
Password
Confirm Password
Nationality
Current Residence
Date of Birth
Gender
Male
Female
Prefer not to say
2
Study Goals & Preferences
Intended Level of Study
Foundation
Diploma
Bachelor
Master
PhD
Intended Study Field / Major
Preferred Study Countries
Preferred Intake
Fall
Spring
Summer
Not Sure
Annual Tuition Budget (£/$/€)
Do you need a scholarship?
Yes
No
Maybe
Need accommodation support?
Yes
No
3
Education History
Highest Education Completed
School / College / University Name
Country of Education
Graduation / Completion Year
GPA / Final Grade Score
Study Field
Do you have an education gap?
No
Yes
Gap Explanation (If Yes)
4
Passport, Language & Background
English Test Type
IELTS
TOEFL
Duolingo
PTE
None
Overall Score
Test Taken Year
Other Languages
Do you have a valid passport?
Yes
No
Passport Expiry Date
Ever Refused a Visa?
No
Yes
Which Country? (If Yes)
Have you studied abroad before?
No
Yes
Target Admission Term (Year + Intake)
5
Preferences & Submissions
University Contact Permission
Yes
No
Agent Contact Permission
Yes
No
Free Consultation Request
Yes
No
Additional Notes / Message
I confirm that all the information provided in this form is accurate and complete, and I agree to the privacy policy.
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