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Admission Form

The document is an education agent admission form that collects personal information such as name, date of birth, contact details, education background, English proficiency, work experience, and preferred course and location of study from prospective students. It also asks if the student has family abroad, holds a visa, or has had a visa application rejected in the past.

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athetprivvv1111
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44 views2 pages

Admission Form

The document is an education agent admission form that collects personal information such as name, date of birth, contact details, education background, English proficiency, work experience, and preferred course and location of study from prospective students. It also asks if the student has family abroad, holds a visa, or has had a visa application rejected in the past.

Uploaded by

athetprivvv1111
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EEVS Education Agent Admission Form

*Please fill out all the inquire information in the detail and we will apply in school application and visa
process.
● Personal Information
Title Mr. Mrs. Ms. Miss Dr. Other-
Student Name Gender o Male O Female
Other Name/ Preferred Name Status ၀ Single ၀ Married
Date of Birth Age
N.R.C Number Nationality
First Language Ethnicity
Contact Number Email

Current Address
Postal Code
Permanent Address
Postal Code
Passport Number Issued Date
Place of Issued Expired Date

● Particulars of the Parents/Guardian


1. Parent Name Relationship
Date of Birth Age
Contact Number Email
Highest Education
Permeant Address

2. Parent Name Relationship


Date of Birth Age
Contact Number Email
Highest Education
Permeant Address

3. Guardian Name Relationship


Date of Birth Age
Contact Number Email
Highest Education
Permeant Address
Sibling information
Name Date of Birth Occupation Highest Education

● Education Background (please fill out in details)


Qualification Qualification School/Institute Start Date Completion
Level Name (D/M/Y) Date
(D/M/Y)
Eg. Grade - 10

Eg. Undergraduate

● English Language Proficiency


Overall/Total Test Date
Test Name
Listing Writing
(e.g.-IELTS/TOF0L, etc.
Reading Speaking
● Working Experience
Company Name Position Start Date End Date

● Which course/field are you interested in?

● Which city do you want to choose?

● Which university/college/institute would you like to prefer?

● When do you want to attend?


Anything you wish to say about your school application-

 Mandatory Questions
O Yes O No
● Do you have family or relatives living in other country?

● If yes, please provide information -


O Yes O No
● Do you hold any type of visa?

● If yes, please provide information -


O Yes O No
● Have you ever had a visa application rejected or visa cancelled from another
country?
● If yes, please provide information -

●UNDERTAKING
I agree that the above information is correct and use them in the necessary places.

Name – Date :

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