EEVS Education Agent Admission Form

*Please fill out all the inquire information in the detail and we will apply in school application and visa process.
● Personal Information
Title Mr. Mrs. Ms. Miss Dr Other-
Student Name Min Thway Gender ⬤ o Female
Male
Other Name/ Preferred Status ⬤ o Married
Name Single
Date of Birth 24th, June, 2005 Age 18 years old
N.R.C Number 9/DaThaKha (N) 004976 Nationality Burmese
First Language Burmese Ethnicity Burmese-Chinese-Shan
Contact Number 09404050919 Email minnthway04@gmail.com

Current Address E3/Shwe Nan Taw Complex, 19th St, Aung Myay Thar San Township, Mandalay
Postal 05011
Code
Permanent Address E3/Shwe Nan Taw Complex,
19th St, Aung Myay Thar San
Township, Mandalay
Postal Code 05011
Passport Number Issued Date
Place of Issued Expired Date

● Particulars of the Parents/Guardian

1. Parent Name Mrs. Win Myat Thu Relationship Mother
Date of Birth Age
Contact Number Email
Highest Education
Permeant Address

2. Parent Name Relationship

Date of Birth Age
Contact Number Email
Highest Education
Permeant Address

3. Guardian Name Relationship

Date of Birth Age
Contact Number Email
Highest Education
Permeant Address

Sibling information
Name Date of Birth Occupation Highest Education

Swan Yi Aung 8th, January, 2008 Student IGCSE “O’ Levels

 ● Education Background (please fill out in details)

Qualificatio Qualificatio School/Institute Start Completio

n Level n Name Date n Date
(D/M/Y) (D/M/Y)
st
Eg. Grade - 10 Grade 12 Canadian School 1 , January, Still
OSSD diploma Myanmar, Ontario Virtual 2022 studying
School
Eg. Undergraduate

● English Language Proficiency

Overall/Total Test Date
Test Name Listing Writing
(e.g.-IELTS/TOF0L, Reading Speaking
etc.

● Working Experience
Company Name Positio Start Date End
n Date

● Which course/field are you interested in? Psychology, Humanities

● Which city do you want to choose?

Canada (Vancouver, Waterloo,
Edmonton, Ottawa, Calgary)
Australia (Sydney, Brisbane, ,
Melbourne)
● Which university/college/institute would you like to prefer?
Canada (University of British
Columbia (UBC), University of
Waterloo, University of Alberta,
University of Ottawa, University of
Calgary)

Australia (he University of New

South Wales (UNSW Sydney), The
University of Queensland (UQ), The
University of Sydney, Monash
University, The University of
 Melbourne)
● When do you want to attend?
Anything you wish to say about your school application- Looking for Institutions that offers Co-op programs

 Mandatory Questions

● Do you have family or relatives living in other country? O Yes ⬤ No

● If yes, please provide information -

● Do you hold any type of visa? O Yes ⬤ No

● If yes, please provide information -

● Have you ever had a visa application rejected or visa cancelled from O Yes ⬤ No
another country?
● If yes, please provide information -

● UNDERTAKING
I agree that the above information is correct and use them in the necessary places.

Name – Min Thway Date : 27th June, 2023