Student Information

Name

Date of Birth Gender

Country of Citizen Status

Complete Address

Unit Address

City Province Zip Code Country

Passport Number

Student Email Phone Number

Father’s Name Phone Number

Mother’s Name Phone Number

Educational Background & English Score Information

School Name (high) Place

Graduation Date IELTS | TOEFL

(YYYY/MM) score

School Name (uni) Major

Admission Date Graduation Date

(YYYY/MM) (YYYY/MM)

Working Experience

Employer Position

College Application

College Name Start Date

1st Choice

2nd Choice

College Name Start Date

1st Choice

Application Fee Payment

Card Holder

Card Number Amount

Expire Date CVC

Pursuant to the Freedom of Information and Protection of Individual Privacy Act, I hereby authorize all of colleges and universities in
Canada to release any and all information related to any and all aspects of my application for admission, acceptance, and fees of
program of studies to the Stu-View Overseas Service (SOS).
I certify that SOS is my selected representative and has my agreement to access and use this information to assist me to successfully
register and access program at all of school in Canada.

Signature Date

TORONTO | CALGARY | JAKARTA | HANOI | HOCHIMINH | SEOUL | BUSAN | MANILA

!
Unit 501 Taipan Place Bldg Emerald Ave Ortigas Pasig City 1605 | +02 636 6642 | philippines@stu-view.com | www.stu-view.com
https://www.facebook.com/SOScanada.PhilippineTeam/