Study Abroad - Registration Form

Full Name

Date of Birth

Gender

Location

Contact Number

Educational Background

10th Grade Marks in %

12th Grade Marks in %

UG Degree

PG Degree

Preferred Countries

(please specify in order of preference): USA, Canada, UK, Australia, Ireland & Newzealand

1st Choice:

2nd Choice:

Preferred Courses

(please specify in order of preference):

1st Choice

2nd Choice

3rd Choice

Preferred Universities (if any):

University 1

University 2

University 3

Preferred Intake:

How did you hear about IMSTP Study Abroad Services?

Declaration:

I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand that any false information may lead to the rejection of my application.

Date: