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Section 1: Personal Information

Full Name *

Father's / Guardian's Name

Gender

Male Female Prefer Not to Say

Date of Birth

Nationality

Country of Residence

City

Current Address

Profile Photograph (Optional)

Section 2: Contact Information

Email Address *

Mobile Number

WhatsApp Number

Preferred Contact Method

Email Phone Call WhatsApp

Section 3: Account Security

Create Username *

Create Password *

Confirm Password *

Section 4: Educational Background

Latest Qualification

Qualification

Matric / O-Level Intermediate / A-Level Diploma Bachelor's Degree Master's Degree MPhil / MS PhD Other

Name of Institution

Country of Institution

Field of Study

Year of Completion

Grade / CGPA / Percentage

Section 5: Previous Academic Qualifications

Please provide details of your academic background

Qualification	Institution	Field of Study	Year	Grade / CGPA
Matric/O Level
Intermediate / A-Level
Bachelor's
Master's / MPhil
Other

Section 7: Intended Level of Study

Foundation Program Diploma Bachelor's Degree Master's Degree MPhil / MS PhD Postdoctoral Program Short Course Professional Certification

Section 8: Preferred Subject / Field of Study

Primary Field of Interest

Specialization (if applicable)

Alternative Field

Section 9: University Preferences

Do you have a preferred university?

Yes No I need guidance

University Name(s)

Do you want assistance in selecting a university?

Yes No

Section 10: English Language Proficiency

Have You Taken an English Language Test?

IELTS TOEFL PTE Duolingo English Test Other Not Taken Yet

Overall Score

Test Date

Test Expiry Date

Do you require language test guidance?

Yes No

Section 12: Funding Source

How do you plan to fund your education?

Self-Financed Parents / Guardian Scholarship Education Loan University Assistantship Sponsorship Other

Section 13: Scholarship Requirements

Are you interested in scholarships?

Yes No

Section 15: Current Application Status

Have you already applied to any university?

Yes No

Section 17: Special Requirements

Do you have any specific requirements or preferences?

Section 18: Preferred Consultancy Firm

Would you like to:

Select a specific firm from the platform Receive offers from multiple registered firms

Preferred Firm Name (Optional)

Privacy & Declaration

I confirm that the information provided by me is accurate. I agree to share my basic academic and service requirements with relevant registered firms. I understand that I should independently verify all financial and immigration-related information before making decisions. I agree to the Terms & Conditions and Privacy Policy.

Student Full Name *

Digital Signature *

Date *