Student Registration Form

First Name*
Last Name*
Date of Birth*
Permanent Address Line 1:
Permanent Address Line 2:
Permanent City:
Permanent State:
Permanent Zip Code:
Current Phone Number:
Email ID*
What are you planning to study (field of interest)?
Are you currently an Undergraduate, Masters or Doctrol student?
Expected Graduation Date
What is current enrollment status ?
Lanuages spoken fluently
What universities are you interested in?
Are you a first-generation college student?
Please list the name of the schools and the dates you have attended
Provide the name of the school from which you obtained your Bachelor's Degree
If you are currently enrolled at a college, name the college
Create the summary your profile