SCOPE OVERSEAS

# 5-7-205, Opp: Haricharan Complex, Old eenadu Office Lane , Nizamabad - 503 001.

APPLICATION FORM
PERSONAL DETAILS:
Name: ________________________________________ _____________________________ D.O.B:_________________________________________ _____________________ Surname: Sex: Male/Female:

Contact No: ____________________________________ Passport No: ___________________________ Address:___________________________________________________________________________ ___

EDUCATIONAL QUALIFICATION

Level

Course

Institution/University

Year Passed

SSC/ 10th

Inter/10+2

Bachelors

Master's

Any other course taken: ________________________________________________________________ Which Country do you prefer? UK USA CANADA AUSTRALIA

Course applied for: Any other Tests Taken, Please give date and results: IELTS TOEFL Score: __________________ GRE GMAT (any other):________________

Did you previously applied any country: ___________________________________________________

DECLARATION:
This is to certify that I'm being counseled by Scope Overseas educational consultancy services on all issues relating to my plans for an overseas education and designing a career pathway. I understood that Scope overseas education consultancy process all applicants to Universities / Colleges they represent. I further certify that Scope overseas education consultancy services " are authorized to represent me on all matters relating to my Admission(s) and interact with the University / College and responsible High Commission / Embassy on my behalf. I authorize the release of all information relating to my application as required. I declare that all the above information given by me is complete and correct. Date: Name : Signiture

FOR OFFICE USE ONLY

Student Name:

Student ID No: Counselor name: