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Students Assessment
STUDENT ASSESSMENT FORM
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Mr.
Ms/Mrs.
Name
*
First
Last
Telephone
*
Email:
*
DOB:
*
Country of Residence/ Citizenship:
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo (Brazzaville)
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherland
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wales
Yemen
Zambia
Zimbabwe
Present Address:
Province:
Annual Budget for Tuition Fee:
*
Currency
*
USD
CAD
GBP
Highest Educational Credential:
*
Passing year:
*
*Details of Education:
Enter Details of Last two Educational Degrees/Diplomas acquired:
Most Recent Degree/ Diploma:
Name of Institute
*
Program Enrolled
*
Sem. Start Date
*
Sem. End Date
*
Degree
*
CGPA/ %
*
Remarks
Second Most Recent Degree/ Diploma:
Name of Institute
Program Enrolled
Sem. Start Date
Sem. End Date
Degree
CGPA/ %
Remarks
Have you given an English Language Test?
*
Yes
No
DUOLINGO TEST (0/160)
TOEFL (0/120)
IELTS (0/10)
PTE TEST (0/90)
Language Test -Module Wise Score:
Type
The test you have undertaken
Listening
*
Speaking
*
Reading
*
Writing
*
Overall/ Total Score
*
Validity Period (From - To)
Interested in studying in
*
UK
USA
Canada
Have you ever been refused a visa from Canada, USA, UK, Australia or New Zealand? If so, please provide details.
*
Yes
No
Please provide details here
*
*PROGRAMS/ UNIVERSITIES INTERESTED IN:
Note: Please enter in the order of priority.
1st Priority
Institute (if applicable)
Course Option I
Course Option II
Level (Grad/Post-Grad)
Country
Remarks
2nd Priority
Institute (if applicable)
Course Option I
Course Option II
Level (Grad/Post-Grad)
Country
Remarks
Additional Information Or Comments:
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