Fullname

Contact Number

Email Address

Educational Background

Highest level
Please selectFoundationAssociate/DiplomaHigh SchoolBachelorsMastersResearch

Course title

Area of interest

Country of Interest
Please selectAustraliaCanadaJapanMalaysiaUnited KingdomUnited States

Course Level
Private Independent School"O" Levels"A" Levels / 6th FormInternational Foundation ProgrammeUndergraduate ProgrammePostgraduate Programme

Subject of choice 1
Subject of choice 2
Other (Please specify)

English Background

English exam taken IELTSPEARSONESOLTOEFLOtherNone

Other (Please specify)

Date English exam was undertaken

Immigration Background

Have you ever been granted a student visa to any country? YesNo
Have you ever had a visa refused to Enter any country? YesNo
Have you ever been deported from any country? YesNo
Do you have any criminal convictions in any country? YesNo
If yes to any of the above questions, please give details

Financial Matters

Who will pay for your course tuition fees and upkeep while studying?

I confirm that, to the best of my knowledge, the information given is correct and complete. I agree that Study Connect can process my information for my application and internal research. Yes