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DF-17 Form

IMPORTANT NOTE
1. Please answer all the questions in the following tabulation Fully and Truthfully, Our company will not hold any responsibility if any unveiled and
2. For some information in the form, if you don't know how to fill them or can't provide, you can keep them blank, our staff will arrange them.

1, Surname

2, First name

3, Date of Birth

4, admission time

8, major

9, Modules

About ID and Modules ,if you can’t provide ,our staff can arrange them.
Contact email

Detailed receive address

Zid code
Recipient’s name
Recipient phone

QUESTIONNAIRE

Choose the right answer from the drop-down table column, once you tell us the following answer, we will provide a leather sheath(c

What's the keyword you rearched?

Google search

Forum/Ad

You Tube/other video site

where did you find us? Blog

Social network sites

previous client

friend recommended

others
DF-17 Form

ot hold any responsibility if any unveiled and untrue information is provided.


hem blank, our staff will arrange them.

5, Degree type

6, ID (student id)

7,University/college Name

graduation date

nswer, we will provide a leather sheath(cost 30 USD) for free.

this color means you must fill it

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