Study Permit Application Form

STUDY PERMIT APPLICATION FORM

START DATE:

Fall (Aug/Sept)

Winter(Jan/Feb)

Summer (May/June

INSTITUTION OF ACCEPTANCE:

PROGRAM OF INTENT:

LEVEL OF STUDY:

UNDERGRADUATE

POSTGRADUATE

PERSONAL DATA

First Name:

Middle Name:

Surname Name:

Preferred First Name:

Previous/Other Names:

Date of Birth:

/

day

month

year

Citizenship:

Place of Birth:

Gender:

Male

Female

E-mail:

Mobile No:

Current Home Address:

Street AddressState / Province / RegionCountry

Emergency Contact

Name:

Relationship:

Phone no:

E-mail:

Check here if mailing address is same as current home address.

Mailing Address:

Street AddressState / Province / RegionCountry

ACADEMIC BACKGROUND

Have you previously attended a Polytechnic or University?

Yes

No

If yes, please complete the table below.

List all previously attended colleges / Universities

NAME OF INSTITUTION AND LOCATION:

YEAR OF ENTRY:

YEAR OF COMPLETION:

DEGREE EARNED:

PROGRAM/COURSE:

CLASS OF GRADE/CGPA:

HIGH SCHOOL (Only applicable to foundation and undergraduate applicants)

NAME OF HIGH SCHOOL:

HIGH SCHOOL LOCATION:

DATE OF GRADUATION:

CERTIFCATE OBTAINED(If Available):

WORK EXPERIENCE

EMPLOYER/NAME OF COMPANY:

JOB TITLE:

JOB DURATION:

JOB FUNCTION:

(Please Specify)

REGULAR APPLICATION DEADLINE

Fall (Sept/Aug Start) – Application deadline April 1st
Winter (Jan/Feb Start) – Application deadline August 31st
Summer (May/June Start) – Application deadline December 31st

Kindly upload the following documents in these Format. (jpg, jpeg, png, gif, worddoc, docx, xls, xlsx)

Offer Letter:*

CV (For Post Graduate Students only):*

Data Page of International Passport:*

Personal E-mail Address:*

Phone Number:*