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Student Enquiry Form
Student Enquiry Form
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Title
Mr.
Mrs.
Miss
Ms
Dr.
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First Name
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Last Name
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Date of Birth
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Address
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Post/Zip code
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Country
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Tel No.
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E-mail Address
Fields marked with * are required
Please answer the following questions
1.
Study options - Level of study
Undergraduate
English Language Course
Postgraduate
Summer School
Diploma
2.
Preferred country of study?
UK
Australia
Europe
New Zealand
USA
Malaysia
Canada
Other (Please State)
Please state your regional preference. For example UK - London, Manchester
3.
When do you wish to start your course?
Sept / Oct
Jan / Feb
June / July
2007 / 2008
2008 / 2009
4.
Please state your preferred 3 choices of subject to study?
Subject 1
Subject 2
Subject 3
5.
School / College background
School Name
School Address
College Name
College Address
6.
Please give details of current level of qualifications held and in what subjects along with the date you obtained these:
7.
Please give details of expected qualifying qualifications:
8.
If not from an English speaking country, please indicate your anticipated level of English?
IELTS
TOEFL
GMAT
SAT
Other
9.
Please indicate your preferred institution to study at if appropriate
10.
Please state any work experience. (Essential for MBA applicants)
11.
Please indicate where you heard about QISAN
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