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Student Visa Application Questionnaire

The document is a student questionnaire that collects personal information such as name, date of birth, address, education details, and background immigration information. It asks for the applicant's first and last name, contact details, highest level of education completed, institution attended, and GPA. It also inquires about any past visa refusals with request for details. The applicant must sign to confirm the accuracy of the provided information, and a representative initials after reviewing the completed form.

Uploaded by

Joel Jones
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71 views3 pages

Student Visa Application Questionnaire

The document is a student questionnaire that collects personal information such as name, date of birth, address, education details, and background immigration information. It asks for the applicant's first and last name, contact details, highest level of education completed, institution attended, and GPA. It also inquires about any past visa refusals with request for details. The applicant must sign to confirm the accuracy of the provided information, and a representative initials after reviewing the completed form.

Uploaded by

Joel Jones
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Student Questionnaire

Personal Information

First Name

Last Name

Date of Birth

First Language

Country of Citizenship

Passport number

Gender

Address Detail

Address

City

Country

State/Province

Postal/Pin code

Email

Phone number
Education Details

Country of Education

Highest level of Education

Name of the institution

Percentage and GPA

Did you complete your study or any


backlogs?
Any gap in Education? If yes please
explain

Background Immigration information

Any Visa Refusal? Yes or No

If yes, please provide detail such as


Refusal date, type of visa.

By signing this, I confirm that the information given in this form is


true, complete and accurate.

Applicant/Client’s Signature: _____________________

Date: __________

Alcan Visa Services Representative’s Initials: ____________

Date: ______________

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