Apply Online to Study in India

(The information in this form will be transferred into the relevant university application form)

1- Personal Details
Title:  
Surname:  
 First Name:  
Nationality:  
Phone:   (with Country Code)
Date of Birth:   (mm/dd/yyyy) Country of Birth:  
Email:  
 Country of Permanent Residence:  
Sex:
Correspondence Address:   Home Address (if different):
 
2- Payment of Fees
Who is expected to pay your fees? (university, ministry, yourself, family member, employer, other)
 
 
3- Proposed Field of Study:
Course Title:    
 
Starting Date:  
 Mode of Study:
 
4- Work Experience
Job title /Name of organization /Full or part time /From (month/year) /To (month/year):  
 
5- Academic Qualifications
Level / Subject / Date (M/Y) / Place of Study / Results  
 
6- Further Information
 
7- Physical Disabilities
(or medical condition including any which might necessitate special arrangements or facilities)
 
8- Declaration & Authorization
I confirm that, to the best of my knowledge, the information given in this form is correct and complete. I authorize Lotus Education & Employment Consultants for Academic Services to use this information and to sign on my behalf any application form that belongs to the University of interest in order to secure for me an acceptance as I requested in this application form.
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