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 *.
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)*
University or College
High School/s Attended
High School Courses
Do you know anyone in Canada?
Do you know anyone in USA?
Why do you want to study in Canada?
To what level do you wish to study?
Who will sponsor (pay) your studies?
Does the sponsor have sufficient funds to support the applicant?
What is the sponsor's name, relationship & occupation and estimated annual income? Describe business/employment details.
Have you ever applied for a Canadian Visa?
Was the visa issued?
What was the date you applied?
Have you ever applied for a visa to any other country?
What country(s) did you apply to?
Date applied
List the countries either of your parent's visited:
What countries have you visited:
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)
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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.
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