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- Admission - Application Form

APPLICATION/REGISTRATION FOR ADMISSION

 

Personal Details 

Family Name:____________________                          Given Name:_____________

Preferred Name: ____________________                      Gender: ____________

Date of Birth (dd/mm/yy): ______/_______/__________       Country of Birth:_______________

Status in Canada: 

Home Address:

___________________________________________ 

City: _____________      Province: ______________  Postal Code________________                                                

Phone:_____________________                       Email:______________________________________

 

Parent / Guardian Contact

Name:__________________________                      Phone(Home):_______________________

Relationship:_________________________                      Phone(Business):_____________________

 

Education Background 

Previous School(s) Attended

High School Name

Grade)

From (mm/yy)

To (mm/yy)

Certificate or Diploma Obtained

 

 

 

 

 

 

 

 

 

 

 

TOEFL score:________________               Other English test score____________

 

Academic Program/Course Applying For

Course Code

Course Name

Prerequisite

Start Date

( semester/year )

Class Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have provided the following supporting documents:

 Identification       Transcript        Report Card     Credit Summary      Others

If I am accepted as a student at CIA, I hereby agree to abide by all the rules and regulations of the School. 

I hereby declare that the information given in this application form is to the best of my knowledge complete and correct.

School shall under no circumstances be liable for any loss, damage or injury.

 

Signature of Applicant:_________________________               Date (dd/mm/yyyy):__________________________

 

Name of Parent or Guardian (if applicant is under 18):_________________     Date (dd/mm/yyyy)______________

 

Download:

Application Form.pdf

 

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