BODHIGRAM LEARNING CENTRE

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  2. APPLICATION FORM FOR REGISTRATION
Name (In block letters)
Gender (Male/Female/Transgender) Male Female Transgender
Age & Date of Birth (DD/MM/YYYY)
Educational Qualifications
Phone Number
E-mail Address
Address for Correspondence
Course Opted for((IELTS/OET/Communicative English/ GERMAN):)
Course Mode (Offline/Online)
Current Status:
Working Full time or Part time/Student/Job Seeker
Purpose of doing the Course:
Study Abroad-ACADEMICS PR for Canada/Australia/New ZealandGENERAL
Nurses Work Visas/ACADEMICS:
(mention the Country)
Country You decide to Study/Work
Rate your Proficiency level of the Language (English/German) on a scale of 1 to 5 (Excellent Proficiency level is 5)
Name of Parent/ Guardian
Relationship with the Applicant
Emergency Contact Number