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Students Application Form

Full Name:

Date of Birth:

Gender:

Nationality:

Social Security Number or Student ID (if applicable):

Email Address:

Phone Number:

Address:

City:

State/Province:

Postal/ZIP Code:

Country:

Emergency Contact Name:

Relationship to Student:

Emergency Contact Phone Number:

UG Courses:

Student Type:

Previous School/Institution Name:

Year of Graduation from Previous School:

GPA/Percentage from Previous School:

Semester/Year of Enrolment:

Enrolment Type (Full-time, Part-time):

Student Type (New, Transfer, International, etc.):

Housing Preference:

English Proficiency Level (for international students):

Other Languages Spoken:

How did you hear about our institution?

Why are you interested in studying at our institution?

Any special accommodations needed?