Assessment Form

 
 

Personal details:

*NAME:

 

ADDRESS:

 (Full postal address including postcode)

   

TEL NO.:

                                        
             Country Code                                              Home  Number                                            Mobile Number

*EMAIL:

 

*CITY  
   

*COUNTRY:

 

  Courses you are interested in (Please indicate in your order of preferences):
1)  
2)  
3)  
   
  Universities/Colleges of your preference ( Please indicate None for LEC to suggest)
1)  
2)  
3)  
   
  Please indicate your last two degrees achieved with dates:
1)             (dd-mm-yyyy)
2)             (dd-mm-yyyy)
   
  Work experience (if any):
(max 300 characters)
   
   
  English proficiency (IELTS Score etc.):
(max 200 characters)
   
   
  Any additional information:
(max 300 characters)
   

                                      
*Required field

  
 

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