Please take a few minutes to fill out our online registration form. Your information will not be used for any other purpose. Required Fields are marked by *.

Canadian High School & University Admission Specialist

Highschool
Pre-university
College/PolyTech
University
Post-Graduate

PERSONAL INFORMATION please print clearly

Family Name:*

First Name:*

Middle Name:*

Title:

Date of Birth:

Place of Birth:

Gender:*

Next of Kin:

Tel:*

Home Tel:

Mobile:*

Email:*

Mailing Address: (box number & street)*

List 3 programs of choice in order of preference*

List 3 Canadian educational institutions in order of preference (leave blank if not known)*

PREVIOUS / CURRENT EDUCATION please print clearly

University or College

Dates Attended Name of Institution Program Highest Level Completed

High School/s Attended

Dates Attended Name of Institution Program Highest Level Completed

High School Courses

Dates Attended Name of Institution Program Highest Level Completed

OTHER PERSONAL INFORMATION please print clearly

Do you know anyone in Canada?

Yes
No

Do you know anyone in USA?

Yes
No

Why do you want to study in Canada?

To what level do you wish to study?

Diploma
Undergraduate degree
Graduate Studies
Other

Who will sponsor (pay) your studies?

Does the sponsor have sufficient funds to support the applicant?

Yes
No

What is the sponsor's name, relationship & occupation and estimated annual income? Describe business/employment details.

Have you ever applied for a Canadian Visa?

Yes
No

Was the visa issued?

Yes
No

What was the date you applied?

Month
Year

Have you ever applied for a visa to any other country?

Yes
No

Was the visa issued?

Yes
No

What country(s) did you apply to?

Date applied

Month
Year
Do you have a valid international passport?
Yes
No
Do you have siblings studying in Canada or abroad?
Yes
No
If so, where?

List the countries either of your parent's visited:

What countries have you visited:

APPLICATION FEE

1. Non-refundable application fee US
2. Photocopies of all certificates obtained
3. Originals & photocopies of any/all school transcripts (high school/WAEC/university/NECO)

CONTACT ADDRESS

I was referred by:

Applicant's Signature:

Date:

Important Note: Programs generally start in September, January & May. The Canadian Embassy requires MINIMUM of three (3) months to process the Study Permit (visa) application. For example if your program starts May 1st, your application MUST be submitted NO LATER than February 1st.