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APPLICATION FOR ADMISSION FOR EU STUDENTS
First Name:

Last Name:

Middle/Father Name:

ADMISSION INFORMATION

1. Semester / Session:

2. Program for which you are applying:

3. Entering as:

(a)

(b)

(c)

4. Study Objective:

PERSONAL DATA

Permanent address:

Postal Code:

City:

Telephone:

Mobile:

Fax:

E-mail: (Required)

Date of Birth:

Place of Birth:

Id. Card No.:

Nationality:

Religion:

Sex:

Marital Status:

Sponsor Name:

Sponsor Address:

Relationship to Applicant:

EDUCATIONAL BACKROUND

Please list in chronologigal order (starting from the most recent one) all schools (Secondary, College, University) you have attend or are currently attending. Copies of certificates, diplomas, degrees, transcripts (marksheets) or any other supporting documents must accompany this application.

Previous / Current Education:

For University:

Name of University:

Date of attendance:

From:

To:

Qualification Received:

For High School:

Name of High School:

Date of attendance:

From:

To:

Grage (give persentage):

Evidence of Proficiency in English:

Please state if you have ever taken any English examinations (such as TOEFL, GCE/GCSE, IELTS Cambridge Exams). Copies of official results must be supplied, and either accompany this application or be forwarded as soon as received.

Examinations taken:

Name:

Result:

Date:

APPLICATION INFORMATION

Please indicates the source(s) and reason(s) that led you to apply to Intercollege.
Sources:

Reasons:

List other Colleges/Universities to which you are applying:
Agents
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