Professional Documents
Culture Documents
Name:
PERSONAL INFORMATION
MAILING ADDRESS
American Express
Name
MasterCard Credit Card No. Exp. Date
Visa Signature
Payment may be made in Canadian or US funds. Cheques and bank drafts must be drawn on a Canadian or US banknote. Only International money
orders are acceptable. Payments should be made payable to The University of British Columbia. Please note: applications cannot be processed
until full payment is received.
CITIZENSHIP
Permanent Resident who are not Canadian Citizens must submit proof of
Citizen Permanent Resident/Landed Immigrant immigration with application
CURRENT UNIVERSITY/INSTITUTION
Name Prov/State/Country Grade/Level From To
ENGLISH PROFICIENCY TEST(S): PLEASE INDICATE WHAT, IF ANY TESTS YOU HAVE TAKEN.