Name DOB: Contact Number Email Country Preference Course Preference Intake 10th Details Name of the School ______ Percentage (%): ______ Start Date (MM/YYYY): ______ End Date (MM/YYYY): ______ No. of Backlogs: ______ 12th Details Name of the College: ______ Subject/Stream: ______ Percentage (%): ______ No. of Backlogs: ______ Start Date (MM/YYYY): ______ End Date (MM/YYYY): ______ University/Board: ______ Graduation Details Name of the College: ______ Subject/Stream: ______ Percentage (%): ______ No. of Backlogs: ______ Start Date (MM/YYYY): ______ End Date (MM/YYYY): ______ University/Board: ______ Masters Details Name of the College: ______ Subject/Stream: ______ Percentage (%): ______ No. of Backlogs: ______ Start Date (MM/YYYY): ______ End Date (MM/YYYY): ______ University/Board: ______ Other Qualification Details Qualification: ______ Name of the College: ______ Subject/Stream: ______ Percentage (%): ______ No. of Backlogs: ______ Start Date (MM/YYYY): ______ End Date (MM/YYYY): ______ University/Board: ______ Test Taken IELTS PTE TOEFL DUOLINGO select English Proficiency Test Scores Overall Score: ______ Speaking Score: ______ Reading Score: ______ Listening Score: ______ Writing Score: ______ Gap Between Education Yes No Reason for Gap Work Experience Job Description: ____________________ Duration From (MM/YYYY): ______ Duration To (MM/YYYY): ______ Work Experience Letter Available Yes No Mode of Salary Cash in Hand Bank Account Marital Status Other Married Single Date of Marriage Qualification of Spouse Employment Status of Spouse Employed Self Employed Homemaker Other Income of Spouse No. of Kids No. of Dependents Applied for any visa before? Yes No Any previous visa refusal? Yes No Send
