Branch______________ For office records only Date _____________

First Middle Last

name Name name

Please mention if you have ever used any other name on any of the documents:

Applications
First choice Second Choice Third Choice

Institute name

Campus (if any

preference)

Programs name
including Major /
Co-op (If any)

Intake (mm/yyyy)

App fee _______________________ App fee_______________________ App fee _______________________

 Credit card details as below
Application fee
 Cash
 Swapped Credit/ Debit Card
 Other __________________
 Credit card details as below  Credit card details as below
 Cash  Cash
 Swapped Credit/ Debit Card  Swapped Credit/ Debit Card
 Other __________________  Other __________________

Name on Card- Expiry date- mm/yy CVV-

Credit card details
for applications
Card number- Type of Card  Visa  Master

RV # Retainer Balance at offer  Cash

Retainer fee  Swapped Credit/ Debit Card
 Other __________________

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 Original documents are witnessed and submitted color copies Submitted Submission date Not applicable

Consent form/s ( if applicable)

Passport bio data pages and signature page

Valid residence visa (if applicable)

Transcript  American 10th  CBSE/ICSE 10th  O’ level

Transcript  American 11th  CBSE/ICSE 11th  AS’ level  IB certificate

Transcript/  American 12th  CBSE/ICSE 12th  A’ level  IB diploma
Predicted
Certificate of completion of high school (if completed)

Individual year Transcripts of post-secondary program

Certificate of completion/provisional letter of post-secondary program

 IELTS  TOEFL  PTE Academic

SAT/ ACT (if applicable)

Work experience letters

Updated CV

Recommendation letters/ contact details of your referees (for Master only)

Portfolio (Creative art and design based programs)

OUAC login details (If the student has an account already)

Bank balance confirmation letter (Only for applications for USA institutions)

**Further documents may be requested at later stage by the Institution applied

Remarks related to documents:

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Student’s profile
Passport Issue Expiry
number date date

Date of Birth day/month/year Marital Status Married/Single/Separated Gender Female/Male

Nationality Country of Birth Country of Residence

Language of Other languages

Mother tongue known
Correspondence English/French

Mobile Email
(Student) Country code + number (Student)

Emergency contact person Mobile Email

Relation Country code + number

Flat/house # Building number
Building name
Current
Address
Area/landmark City
Country
Academic details – Start filling the details from recent to old
Name of the institute, City, Country-

Curriculum-
From (dd/mm/yyyy) To(dd/mm/yyyy) From Grade/level To Grade/level Completed/In progress

Name of the institute, City, Country-

Curriculum-
From(dd/mm/yyyy) To(dd/mm/yyyy) From Grade/level To Grade/level Completed/In progress

Name of the institute, City, Country-

Curriculum-
From(dd/mm/yyyy) To(dd/mm/yyyy) From Grade/level To Grade/level Completed/In progress

Name of the institute, City, Country-

Curriculum-
From(dd/mm/yyyy) To(dd/mm/yyyy) From Grade/level To Grade/level Completed/In progress

Additional remarks about academic history:

Other academic related details

Has either of your parents/guardians attended a university or college? Yes/No
Total number of years studied in Canadian school/college/university
Total number of years studied in English medium system outside Canada
Countries where you attended an English language school system outside Canada
Have you already written or do you intend to write an AP- Advanced placement exam?
Have you ever got suspended from your school/college/university? Please explain.
Is there any gap period in your academic history?
In case of post- graduate applicants, how many backlogs do you have?
IELTS/TOEFL/PTE academic
Test date Reading Writing Listening Speaking Overall

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Work Experience

From(dd/mm/yyyy) To(dd/mm/yyyy) Company, city/country Position/designation

Recommendations/ Details of Referees (Only for Masters/MBA applicants)

Academic Work related Academic/Work related

Name of the Referee
Designation
Contact number
Official email id
Additional questions

Do you/your parents have Sufficient Funds to cover your tuition fee and living expenses?

Do you want to apply for accommodation application if asked within the admission application? Homestay/ On Campus/Own arrangement

Have you ever applied or applying for any type of visa (Visit/Tourist/Study/PR etc.).
If yes, please mention country, type of visa and reason for refusal.
Do you understand that processing time varies institution to institution and volume of
applications?
Services of Company
Provide counseling sessions to the client and discuss the best options
available
Provide information about various institutions and programs choices
Explain the admission process, assist in filling the application forms and
submit the documents as in attached checklist
Represent the admission application to the institution on behalf of the client
Give the information related to turn around time for application
Forward the client the offer letter and accompanying documents received
from the institution
Explain the conditions mentioned on the offer letter
Provide the information to pay the tuition fee and accommodation deposit
(as outlined by the institution)
Provide the information regarding various accommodation options available
on campus and off campus
Provide the information of orientation and start dates of the program
Forward the request to refund the tuition fee in case of unfavorable
situations such as refusal of the visa from the Embassy
Responsibilities of Client
Provide truthful information and genuine documents
Select the institution and program according to personal preferences.
Client may choose multiple institutions and programs
Fulfill the pre-requisites and provide timely response to the
requirements
Give consent to release the personal information. Sign the relevant
forms
Follow the guideline and wait for the result of the application
Forward the company the offer letter and accompanying documents if
received from the institution directly
Fulfill the conditions and submit relevant information and documents
Pay the tuition fee and accommodation deposit directly to the
institution as per invoice from the institution
Make an application for accommodation if required and book the room
as per personal preferences
Report at the institute on time and carry the documents as required
by the institution
Follow the refund policy of the institution and provide a written
request to refund the tuition fee

Important points:
 Company cannot guarantee the positive outcome of the admission application however, will invest the best efforts towards favorable
result
 Company shall provide the client the relevant web links to lodge the visa application. Client shall be responsible to submit documents
including financial documents as per the Embassy’s requirements to satisfy the Visa Officer
 The visa is issued as per the discretion of the Visa Officer. Company has no role in issuance of the visa to the client enabling travel to
the destined country
 Company highly recommend that the client taking a back-up in order to avoid gap in your continuation of the studies
 Company highly recommends completing the study program from the same institution as in which the client is accepted as if client
changes the institution or program; the relevant consequences have to be faced by the client
 Client shall not seek the refund of any kind of fee paid to the institution from the company and fee paid to the Embassy

Declaration:
I (Counselor’s name) have provided the information and explained the process to the client.

(On behalf of Company) Counselor’s Signature……………………………...

I (Student/Parent/Guardian) have understood the process and the above documentation.

(Student or on behalf of Student) Client’s Signature ……………………….

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