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Application Form

Personal Details: (Please write in Capital Letters only and tick the valid answer)
* Date Of Birth
Gender          
Male: Female:
* First Name    
  Middle Name    
  Last Name    
* Mailing Address:    
* State    
  Post Code    
* Country    
  Telephone    
* Mobile No

* Email

Parent/s Details:

* Name of parent

    

Occupation

   
  Nationality    
   Address in country of residence:    
  Programs

(Please specify the program (s) to which you are applying)

 		  

Commencement Date:

  
Academic Records
Name of Board/ University Subject Taken Grade (s) or Percentage From (Month/Year) To (Month/Year)
English Language Education
English is my first language
Yes No
English was the language of instruction during my secondary school studies and I obtained a satisfactory pass final year English
Yes No
If satisfactorily completed an approved ELICOS course, Name the Institute
Examination Title Examination Date  Where Taken    Grade (s)

IELTS

  

Others

  
Working Experience
Name of Company Designation From Duration To Duration
Funding Source

Please specify your source of financial support as per DIMIA reputations.

 
  I am fully supported by my family/Myself           Yes No
   I am supported by a sponsor                                  Yes No
   I will apply for studies Bank Loan                        Yes No
  Terms and Conditions 

In completing this application form, the applicant and his / her parent (s) / guardian (s) agree to abide by the Campus Policies and requirements stipulated below:

1. Students must follow rules & regulations of the campus as notified from time to time, any violation

of the rules and regulations shall subject the student to disciplinary action, which could also include canceling the admission of the student.

2. The campus reserves the right to suspend or cancel any student's admission due to misconduct or any unforeseen circumstances in such an event, the students cannot claim any refund of fee deposited.

3. The campus reserves the right to make appropriate changes to its teaching staff, the course curriculum and design, session and time schedule.

4. The student can change the course before the start of session by intimating the campus at least 10

days from the commencement of classes and by making payment of Rs 500/=(Five Hundred only).

5. The credit transfer is subject to the students meeting DIMIA reputation at the time of applying for

VISA.

6. All disputes are subject to local jurisdiction of Court.

   7. The confirmation of admission is only given after fulfilling all requirements with respect all fee deposits, tests and/or all

         eligibility criteria. Students are restricted for the use of campus and it’s facilities till the commencement of regular

         study  course.

 
Declaration

I/We here by declare that all information given by me / us in the course application form is correct and

I / we agree to abide by the above terms and condition. Any False declaration by me /us may cause rejection of this application or expulsion from the course.

 
Signature:
Applicant’s
Parents or Guardian
Date
Date
 
Check List:
Have you attached certified copies of your IELTS results
Have you attached certified copies of your qualifications and academic transcripts ?
Contact Details:

mmcacademics@gmail.com
 
 
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