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Basic Introduction – Step 1 of 8

Please check the Study Contract before submitting the form. Failure to comply with the terms and conditions mentioned in the contract will result in legal action and involvement of the local law enforcement authorities.

Thank you for your understanding.

Title *

Mr
Ms

Last Name (Family Name) *

First Name *

Father's name *

Gender *

Male
Female
Non-Binary

Marital Status *

Single
Married

Mother Language *

Birth Date *

Month *

Year *

Birth City

Birth Country

Physical Limitations (if any) *

Country of Residence *

Nationality *

Address *

City *

State/Province *

Country *

Postal Code *

Country Code *

Area Code *

Phone Number *

Mobile Number *

Whatsapp Number *

Email *

Secondary School Information

Degree *

Field of Study *

Start Date *

End Date *

Name of Institute *

City *

Country *

College Information

Degree *

Field of Study *

Start Date *

End Date *

Name of Institute *

City *

Country *

Degree *

University *

Preferred Semester *

October
March

Year *

Persian Language Proficiency

Speaking *

Poor
Good
Excellent

Listening *

Poor
Good
Excellent

Reading *

Poor
Good
Excellent

Writing *

Poor
Good
Excellent

English Language Proficiency

Speaking *

Poor
Good
Excellent

Listening *

Poor
Good
Excellent

Reading *

Poor
Good
Excellent

Writing *

Poor
Good
Excellent

Name *

Relationship *

Phone Number *

Address *

Reference

Please mention your reference.

Signature *

Please write your full name

Date *

dd/mm/yyyy

By submitting this form, you agree to the terms and procedure for educational consultancy services mentioned in the Service Contract.

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