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Ofcial Use Only

eMIO No.:
Branch:

Virtual Enquiry Form Counsellor:


Date:
Time:

1. COURSE DETAILS
Course Interested Msc Data Analysis

Level of interest UG PG Diploma PhD Others Projected Intake Month July Year 2024

2. PERSONAL DETAILS
Full Name ADITYA SHINDE Male Female

Mobile No. 07432218230 Alternate Mobile No.

Tel: Resi. (Code) No.

Email adityashinde916@gmail.com

Alternate Email

Date of Birth 18 / 10 / 1999 Marital Status Single Married Nationality Indian


DD MM YYYY

3. CONTACT DETAILS
Permanent Address Correspondence Address (If Different)
Sadguru colony 1 B25
Wakad

City Pin

City Pune Pin 411057 Ph. Nos.


(Area Code)

4. SECONDARY EDUCATION: (Please list all years and marks individually)


Current Education Qualification Masters

Qualication (Std) Board / University Institution Name Year Percentage

X State 2015 61
XII / Diploma State 2017 61
Graduation SSPU 2021 60
Masters UK Nottingham Trent 2022 2:1
5. COUNTRY PREFERENCE: (The below study destinations in your order of priority: e.g. 1, 2, 3,...)
UK USA AUSTRALIA NZ CANADA SINGAPORE IRELAND
DUBAI FRANCE SWITZERLAND MALAYSIA GERMANY SPAIN HOLLAND
DENMARK SWEDEN MAURITIUS CHINA INDIA OTHER
6. DECLARATION:
1. I hereby confirm that the information provided by me in this from is accurate & complete to the best of my knowledge. 2. All supporting documents submitted by me alongwith are genuine and legally
valid. 3. I further confirm that I have not lodged any applications directly to any Institutions / Entities or through any other agency / Government body except as declared herein above.
4. This is to Confirm that I am being counselled by "Edwise" on all issues relating to my plans for an Overseas Education & / or in designing a Career Plan. 5. I further Confirm that "Edwise" are authorised
to represent me on all matters relating to my admission(s) and interest with the institutions / entities on my behalf. 6. I authorise Edwise to release all relevant information with regard to my education to
any educational institutions / entities. 7. I authorise Edwise to send me regular updates via SMS/email/Call etc. 8. Admissions to students in foreign institutions / entities are based and governed by terms &
conditions and qualifying criteria as laid by the respective institutions / entities and also depends on availability of seats. 9. Courses/Programs applied by the students to foreign institutions / entities are
governed by Terms & Conditions laid by the respective institutions / entities and the institutions / entities reserves the right to change the Courses/Program without prior notice. 10. Services provided by
Edwise International LLP., are limited only to the extent of assisting students to get admissions in the institutions / entities / Student Visa's. Edwise International LLP., do not guarantee admission of the
student in any institutions / entities or Student Visa's and is not responsible if the students application is refused/rejected for any reason whatsoever. Edwise International LLP., shall not be responsible or
liable due to refusal/rejection of application/admission, change of course/programme, Student Visa's or due to any other additional requirement. In such circumstances no claim of any nature whatsoever
will be entertained. 11. There will be no demand on the service charges paid. 12. I hereby declare I have understood the admission requirements, for any intended courses programs and I agree to meet
them and it prerequisites. I confirm that the Courses/Programs for any studies are seen and understood by me and Edwise International LLP. Will not be held responsible for its contents and or it changes.
13. Subject to Mumbai Jurisdiction.

Date 06 / 07 / 2023 Signed: Student Parent


DD MM YYYY If applicable (for students below 18 years)

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