Application

Student Application Form

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Sur Name

Other Name

Address

NIC No

Date of Birth

Age

Gender

Phone Number

Land Number

Whatsapp Number

Passport Issue Date

Passport Expiry Date

Passport Number

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Course Applying for:

University

Academic Year

Semester

Year

Syllabus

Local London

School

Subject

Grade

Subject

Grade

Subject

Grade

Subject

Grade

Subject

Grade

Subject

Grade

Subject

Grade

Subject

Grade

Subject

Grade

Year

Syllabus

Local London

School

Subject

Grade

Predicted

A/L

Subject

Grade

Predicted

A/L

Subject

Grade

Predicted

A/L

Subject

Grade

Predicted

A/L

Name of the university / Professional Body

Degree / Diploma Awarded

From

Name of the university / Professional Body

Degree / Diploma Awarded

From

Name of the university / Professional Body

Degree / Diploma Awarded

From

Name of the university / Professional Body

Degree / Diploma Awarded

From

Parents Name

Relationship to Student

Work place & Designation

Land Number

Mobile Number

Have you ever applied for student VISA in anther Country

Yes No

Have you ever applied for student VISA in anther Country

Have you VISA application has been refused before?

No Yes

Message

Declaration

I declare that the information contained in this application is complete and correct to the best of my knowledge. I hereby agree to comply with the student rules and regulations of SMC Education (Pvt) Ltd which I have read and clearly understood before signing this declaration. I also agree for any penalties assessed for non – compliance with the rules and regulations. In signing this application for admission, I understand that this subsequent information placed in my student record will be used for the purposes of admissions, registrations and any other purposes in connection with the mandate of SMC Education (Pvt) Ltd. I accept that, if I do not fully comply with these requirements, the institute shall have the right to reject my application and I shall have no claim against SMC Education (Pvt) Ltd regarding the same. I hereby grant the authority to SMC Education (Pvt) Ltd to proceed with my application to the relevant university and I confirm that I shall not proceed my application to the same university through another agent / sub agent / official representative of the same university. SMC Education (Pvt) Ltd will assist in the application process, Pre-University pathway programs and relevant coordination with the universities. As an Education institute SMC Education (Pvt) Ltd shall assist and guide the students in the visa process but shall not be liable for obtaining student visa or any other visas which is under the sole discretion of the relevant immigration authorities. Therefore I understand that SMC Education shall not be held responsible for any visa refusals. I have read and clearly understood all the information explained to me by SMC Education (Pvt) Ltd, including all types of fees stated in the fee structure / student agreement extended to me pertaining to the respective university / program admission. I understand that type of fee paid in association with my application including Application / Registration Fee, Professional handling Fee, Visa fee or any other fee motioned in the student agreement / fee structure extended to me will not be refunded under any circumstances. Further I hereby confirm that I shall not request for such refunds from SMC Education (Pvt) Ltd under any circumstances.

Student Name

Parent's/ Guardian's Name

Date

Passport / NIC No.

Application

Student Application Form

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