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International Student Application Form
Please fill the form below correctly
First name
*
Last Name
*
email
*
Age
gender
*
male
female
Country of Birth
Nationality
Language Spoken at home
Permanent Contact Details
Permanent Home Address
City
State
Postal / Zip Code
Country
Mailing Address
Same as above
Add a different mailing address
Residential Deatils
Address
City
State
Postal / Zip Code
Country
Phone No.
Mobile No.
Do you suffer from any medical condition/disability that may affect your studies?*
Yes
No
If yes, please specify from the following
Hearing
Learning
Mobility
Visual
Medical
Other
Other, Please specify
How did you hear about us?
Education Agent
Career & Education Expo
Careers Adviser
Billboard
Print / Newspaper
Word of Mouth
Google or other search engine
Other
Name of Education Recruiter
Razorpay Payment Gateway
4111 1111 1111 1111
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