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Educational Assessment Form
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Please provide the following contact information:


Date of Birth

Street Address
Work Phone
Home Phone


How to contact you

E-mail  Phone   Fax     Postal

Best time to contact you
(for example sunday 12 Noon, 25 Feb, 2003)

Educational Qualifications 

Year Passed


Marks Obtained

Out of







You can provide here additional information about educational qualifications

Have you passed any english language test like IELTS etc

Yes  No 

If Yes Provide the following detais about the test
        Name of Test Mrks Obtd Out of  Validity


Please provide us your interest in field of study, Institute abroad and Country

Field of Study

Institute Country


We are interested in knowing the reason for your interests


Please write down your message for us?