Student Data Collection Form
Current location:
Name: Mobile Number:
Email ID: Age:
Country Interested(if any preference):
Preferred course(Ex: Graduate Cert or Diploma/Masters/ PG Dip etc):
Preferred specialization( Ex: Computer Science/ Business etc.,):
Preferred Intake:
*Note: Intake is not guaranteed
Academics:
Please fill the details in the below table
Course with
Course Backlogs
Major subject Mode of Study % / Grade /
Degree Duration (indicate year /
& Name of [Full / Distance] GPA
(From-To) semester wise)
University
Masters
(if you have
any)
Bachelors / B.
Tech
Intermediate
/
12th Standard
SSC
(10th
Standard)
Test details :
If not taken yet,
Actual Score
Test Type Status Test date please Mention
(Indicate section-wise scores)
expected Score
Listening Writing Speaking Reading Total
TOEFL
TOEFL /
Listening Writing Speaking Reading Total
IELTS
IELTS
Quant Verbal AW Overall
GRE
GRE /
GMAT
GMAT
SAT
SAT / ACT
ACT
Do you wish to write the Tests again, If the scores
are below the requirement of the university: YES / NO:
If ‘NO’ Do you wish to apply with same scores: YES /NO:
If interested in studying in Germany or other EU countries, would you like to study in local language
(German, French etc.,):
German Language Certificate Level [E.g.: A1, B1, C2…]:
French Language certificate level:
Do you wish to produce Local Language Certificate(German/French etc.,)
If the University requires? [ For European Countries]: YES/ NO:
What is your budget to study abroad?
*We will try to map Universities within the planned budget but cannot assure on this.
Special Note: Work experience(if any):
Company Name Designation Duration (From Date – To Date)
