Student Data Collection Form
Parent’s contact
Center: Counselor:
number:
Name : Mobile Number: Country Interested : Planned Intake:
e-mail ID : Age: Current Location:
Academics
% Marks / Grade /
Degree Course Year Of Passing History of Backlogs (If Any)
GPA
10th % :
10 Class nil
ENGLISH Marks:
12th % :
12 Class nil
ENGLISH Marks :
Diplomas/PG Diploma
CGPA:
1 ST
YEAR
ND
Bachelors 2 YEAR
3RD YEAR
4th YEAR-
Masters
Test details :
Test date Actual Score /Expected Scores
Test Type Status If not taken yet (Mention expected Score)
/Expected Date
(Indicate section-wise scores)
TOEFL / IELTS
GRE / GMAT
SAT
Information :
Course/s Preference University / college preference Location Preference
SPECIAL NOTE: