STUDENT INFORMATION FORM

Name of Applicant Rohit

Date of Birth 11/06/1991
Address Guntur
Telephone No.: 9704082124
Email ID (CAPITAL LETTERS) knvrkrohith@gmail.com
Single/Married Single
Spouse Name (if married)
Date of marriage
Kids
Spouse Occupation
Spouse Academic Qualification
Preferred City/Country Sydney, Melbourne
Preferred Intake (Month/Year) Feb
Preferred Stream (IT, Business, etc) Socialwork, Nursing
Any previous Visa rejection (any country) No

EDUCATIONAL QUALIFICATION
Educational Qualifications
Level Field / Subjects Year of Over all Backlogs Board / University
Passing Percentage (if any)
(%) &
Marks in
English

10 General 2006 68 no SSC

10+2 Bipc 2008 74 no Board of Intermediate
Diploma
Graduation B.sc Nursing 2012 First class no Dr NTR university of Health
Sciences

Post Graduation
Any Other Qualification

IELTS/TOEFL
IELTS/TOEFL Test Taken Listening Reading Writing Speaking Overall Band
Date

IELTS

EXPERIENCE (if any)

Name of Employer Address of Employer Your Salary From T
with Phone No. Designation (Monthly)

Lalitha Super speciality Guntur 2013 23000 03/04/2013 27/05

hospital

Note- Student yet to take PTE-A (going to write in the first week of August )