Application | ROEEC

Student's Full Name*

First NameLast Name
Phone Number with country code*

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

DayMonthYear
Place of Birth*
Country of Birth*
Gender*

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

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Passport Details
Upload the scan copy of passport*

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Passport Number*
Place of Issue*
Date of Issue*

MonthDayYear
Date of Expiry*

DayMonthYear

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 NameLast Name
Relationship*
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nationality*
ID Proof

Upload a File

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Add more
Name*

First NameLast Name
Relationship*
Date of Code*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nationality*
ID Proof

Upload a File

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

DayMonthYear
End Date*

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

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

DayMonthYear
End Date*

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

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

First NameLast Name
E-mail*

Course Details
Preferred Start Date*

FebruaryOctober
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

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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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