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First Name/Prénom *

Middle Name/2ème prénom

Surname/Nom de famille *

Date of Birth/Date de naissance *

Gender/Genre *

Mobile Phone/Whatssap *

E-mail/Courriel *

Passport Country/Pays du passeport *

Passport No./No. du passeport *

Country of Residence/Pays de résidence *

Select Your City-Province/Votre ville-wilaya *

GPA/Moyenne (/20 or/ou /100) de votre dernier diplôme ou dernière année (préciser) *

IELTS and TCF Level/Niveaux Test TCF and IELTS (préciser)

Current Education Level/Niveau d'études actuel *

Interested Programs/Programme choisi *

Specialty of Interest/Spécialité choisie *

Planned Start Date/Rentrée prévue *

Planned Weeks (for Language Programs)/Nbre de semaines d'études (pour programmes de langue)

Preferred Country 1/1ère destination choisie *

Preferred Country 2/2ème destination choisie *

Your Budget (Max Tuition Fees Per Year) in USD/Budget (disponible par année) en USD

Heard Us From/Entendu parler de nous *

Addtional Information/Information additionnelle

First Name*

Middle Name

Surname*

Date of Birth*

Gender *

Mobile Phone/Whatsapp *

E-mail*

Passport Country*

Passport No*

Country of Residence*

GPA/Average (/20 or /100) of your last degree or last year (specify) *

IELTS and TCF Level

Current Education Level*

Interested Programs*

Language Certificate Academic Juniors

Specialty of Interest*

Planned Start Date*

Planned Weeks (for Language Programs)

Preferred Country 1

Preferred Country 2*

Your Budget (Max Tuition Fees Per Year) in USD

Heard Us From*

Addtional Information

I Attach My CV + 1st and last page (when requested only) of passport in 1 pdf

I Attach My Diploma/Degree + Transcripts in 1 pdf

I Attach My Signed Consent and Service Contract in 1 pdf

Inquiry

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