Enquiry Form

Name :
DOB (DD/MM/YY) :
Contact Number :
Email ID :
Address :

Country Preference :

☐ USA ☐ Australia ☐ Canada ☐ UK ☐ New Zealand

☐ Singapore ☐ Dubai ☐ Ireland ☐ Germany ☐ France
☐ Sweden ☐ Netherlands ☐ Austria ☐ Denmark ☐ Finland
☐ Italy ☐ Hungary ☐ Switzerland ☐ Spain ☐ Lithuania
☐ Cyprus ☐ Poland ☐ Czech Republic ☐ Malaysia ☐ Mauritius
☐ South Africa ☐ Hong Kong

Course Preference :
Intake :
Academics :

Start Dt. End Dt.

Qualification % No. of
Subject/ Month/ Month/ University/ Board name
Grade Backlogs
Stream Yr. Yr.
10th

12th

Graduation

Masters

Others
No. of Backlogs :

IELTS/ PTE/ TOEFL : Overall - (S: , R: , L: , W: )

SAT/GMAT/GRE(If taken): Overall - (V: , Q: ,AW: )

(Verbal, Quantitative and A.W.
scores to be mentioned separately)

Gap between educations (if any):

Reason for gap(mandatory) : _______________________________________________________________

Work experience :
 Job Description (*Attach CV): ___________________________________________________

Duration :From _____To __________

Work Experience Letter available: ☐Yes ☐No
Mode of Salary : Cash in Hand/ in Bank Account
Marital Status :

Date of Marriage :
Qualification of Spouse :
Employment status of Spouse :
Income of Spouse :
No. of Kids :
No. of dependents accompanying applicant:
Comments (if any) :

Visa History:

Have you or your spouse applied for any visa prior to this? : ☐Yes ☐ No

Have you or your spouse had any previous visa refusal? : ☐Yes ☐ No

*Note: Please fill in all the details mandatorily which will help us to give correct advice.

Any Important Note:

----------------------------------------------------------- (For Official Use Only) ---------------------------------------------------------

Documents Checklist (Submitted)

1. All Academics -
2. Passport -
3. Letter of Recommendations -
4. Statement of Purpose -
5. Resume/ CV -
6. Work Experience (If Any)-
7. Exam Score’s -

Signature: