IELTS Admission Form (MD Salman Khan)

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International Studies & Language Centre

Student Name: MD SALMAN KHAN


Date: 14/02/2024

Phone number: 01859385126 D.O.B.01/01/2000 Gender: M

Email: khsalman412@gmail.com

ID Type: NID Card ID Document Number: 1953783725

Education:
Subject/ Institution
Degree Result Passing Year
Group
BARISAL ZILLA SCHOOL,
SSC SCIENCE 5.00 2015
BARISAL
GOVT SYED HATEM ALI
HSC SCIENCE 4.42 2017
COLLEGE, BARISAL

Have you taken an IELTS exam before? YES NO (Circle the appropriate answer)

If yes, please write your scores below.


Overall Reading Writing Listening Speaking

Which course would you like to register for?


Courses No. of Duration Tick the
classes appropriate field
Foundation Grammar & Writing 18 6 Weeks
Foundation Spoken & Phonetics 20 7 Weeks
IELTS Regular Course 30 10 Weeks
Short Foundation + 42 14 Weeks
IELTS
IELTS Crash Course 20 5 Weeks

Which Country are you applying/intending to go to? (Please Tick the appropriate answer)

USA Canada Australia UK Malaysia China Europe

Official use only:

…….............................. .…………………… ……………………….


Admission Manager/DMD Student

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