Student Registration

Student Information Collection Form
General Information
Student Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*
Birth Date*

DayMonthYear
Place of Birth*

Family Information
Father Name*
Father Occupation*
Mother Name*
Mother Occupation*
Immediate Relatives Abroad & Relation*
Siblings (If Any)*

Passport Information
Passport Number*
Place of Issue*
Issue Date*
Expiry Date*
Primary Emergency | Contact Name

First NameLast Name
Primary Emergency | Phone Number
Please enter a valid phone number.

Education Information

Graduation
Graduation Degree Achieved*
Name of University / College*
From date*
To date*
Certificate Issue Date*
Percentage / Grade*

Education Information

Intermediate / 12th Class
Certificate Achieved*
Name of College*
From Date*
To Date*
Certificate Issue Date*
Percentage / Grade*

Education Information

SSC / CBSE
Certificate Achieved*
Name of School*
From Date*
To Date*
Certificate Issue Date*
Percentage / Grade*

IELTS / TOEFL
Select the test taken

IELTSTOEFL
Test Date
Listening Score
Reading Score
Writing Score
Speaking Score
Total Score

GRE
Verbal Score
Quantitative Score
Total Score
AWA
GMAT
Verbal Score
Quantitative Score
Analytical Writing
Integrated Reasoning
Total Score

Document Uploads
Upload all the documents here

Cancelof
Documents Required
1. Resume
2. Front and Back Passport
3. Graduattion Marks Memos / Consolidate Marks sheets / OD
4. Professors Recommendation Letters (3)
5. Intermediate / 12th certificate
6. SSC / 10th Certificate
7. IELTS / TOEFL / GRE / GMAT Score Cards
Should be Empty: