Application | ROEEC

Student's Full Name *

First Name Last Name
Phone Number with country code *

Area Code Phone Number
Student's E-mail Address *
Date of Birth *

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Place of Birth *
Country of Birth *
Gender *

Male Female
City of residence *
Country of residence *
Current Nationality *
Martial Status
Student's Passport Size Photo *

Passport Details
Upload the scan copy of passport *
Passport Number *
Place of Issue *
Date of Issue *

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Date of Expiry *

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Permanent Address
Country *
Street Address *
City *
State *
Zip/Postal Code *

Temporary/Mailing Address
Do you have a different temporary or mailing address that you would like to provide? *
Country of residence *
Street Address *
City *
State *
Zip/Postal Code *

Parent Details
Name *

First Name Last Name
Relationship *
Date of Birth *

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Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Nationality *
ID Proof
Add more
Name *

First Name Last Name
Relationship *
Date of Code *

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Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Nationality *
ID Proof

Educational Qualifications
Name of Institute *
Country *
Level of Study *
Board *
Start Date *

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End Date *

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Grade/Mark/Percentage *
Out of Grade/Mark/Percentage *
Please upload all educational documents. *

Upload a File

Cancel of
Do you like to add another previous institute? *
Name of Institute *
Country *
Level of Study *
Board *
Start Date *

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End Date *

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Grade/Mark/Percentage *
Out of Grade/Mark/Percentage *
Please upload your supporting documentation *

Reference Details (Details of a Teacher or the School Authority)
Name *

First Name Last Name
E-mail *

Course Details
Preferred Start Date *

February October
Country of choice *
University Name *
Course Name *

Course Fee Payment Options
Mode of Payment *
Please mention it *

English Language
English Proficiency *
Please mention it *
Please upload any supporting documents

Declaration
*

I, hereby declare that the above information is correct to the best of my knowledge and I shall not hold RO-Europe Education Consultant-LLP responsible for the information being used for admission procedure and services to any institution / college / University.

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