Enquiry Form

Enquiry Form

Name

Phone Number

DOB

Email Id

Location

Qualifications

10th

Subject/ Stream

Percentage

Number of Backlogs

Start Date (Month/ Year)

End Date (Month/ Year)

University/ Board

12th

Subject/ Stream

Percentage

Number of Backlogs

Start Date (Month/ Year)

End Date (Month/ Year)

University/ Board

Graduation

Subject/ Stream

Percentage

Number of Backlogs

Start Date (Month/ Year)

End Date (Month/ Year)

University/ Board

Masters

Subject/ Stream

Percentage

Number of Backlogs

Start Date (Month/ Year)

End Date (Month/ Year)

University/ Board

Others

Subject/ Stream

Percentage

Number of Backlogs

Start Date (Month/ Year)

End Date (Month/ Year)

University/ Board

IELTS: overall:

Speak

Read

Listening

Writing

Gap between educations (If any):

Reason for gap:

Work experience:

Company Name:

Marital Status:

Date of Marriage:

Number of Kids:

If any dependents accompanying applicant:

Course Preference:

Location Preference:

Intake:

Source of Funding:

Previous visa refusal if any?:

If yes Comments reason (If any):