EGS ~ a Contact us : Tel: +331 70 38 51 80 Fax: +33 170 38 53 95 27 Avenue de Opéra 75001 International Student Application PARIS, France info@egs.education 1- Personal Details (see note 1): sdinistonemedeeiuce en Family Name: Aven’ si a lott Z Given Name: ne Order Of Names: a = Date of Birth: /?- 3.4748 _ Citizenship: —Myaannar Country Of Current Residen 2 Applicant Contact Detalls (see note 2): Phone #: pee Mobile #: FAS 9 A9BNIAF __ - Email avngaai agiat BG rcs comy Applicant's Permanent Address: Street Number/Name:_‘Thusya ___. Suburb/Town: Mayan.fone State/Governorate: Yor.fow Postizip Cod. as Applicant's Mailing Address (if different from above): Street Number/Name: i __. Suburb/Town: 7 accel State/Governorate: Post/zip Code: Country: 3- Program Of Study (see note 3): Program commencement: Year: Ast Program code: Program Name: __ Major: 2nd Program code: __Program Name: Major: your fest program choice isnot availabe forthe semester you have indicated, what would you like to be automatically considered for: [__] The Next available semester for your first program choice or |_| Your second program choice.Note (1) English proficiency TOEFL and IELTS Test results are only valid for two years from the date of the test. Test results must still be valid the month your EGS degree program starts or they cannot be accepted. © EGS will not accept institutional TOEFL tests, photocopies or certified copies of examinees’ TOEFL results. ‘© you sat an IELTS test and you can provide an IELTS Test Report Form (TRF) number on your application form, you do not need to provide an official copy of your IELTS results. Note (2) Academic Qualifications And Experience © Your application will only be assessed ifit is accompanied by certified copies of academic transcripts for all ofthe courses you have undertaken to date. (See the “Application Process” section of the Prospectus) ‘© In most cases application for credit may only be considered once you have provided official course outlines, descriptions, assessment results and contact hours of courses for which you are seeking credit. Course outlines and descriptions must be in English, if not please include certified official English Language translations. © Credits and exemptions will be recorded on your official academic transcript and once granted credit and exemptions cannot be rescinded or removed. Note (3) Permission To Release Information © Ifyou are under 18 years of age, you will need to give permission for a close family relative to access details regarding your application. « Please obtain a signature from the delegated person. Note (4) Declaration And Signature ‘© Please read the declaration carefully. © You must sign your name on the signature line. A typed-in name cannot be accepted. If you will be under 18 years of age at the time you are due to start your studies at EGS “if you geta place” you will need to obtain the approval and signature of a parent or legal custodian who must be a close family relative, ‘This application must be signed and returned the university address Thereby certify that I read and understand all the above mentioned terms and conditions and it’s my responsibility to provide all required documentation and send all required fees before the deadline Name: Aunl Abin lar Da Signature: rr