Updated on 6th May 2024
KYC FORM
SECTION 1 : PERSONAL DETAILS
Student Name
Mob
Email
DOB
Current Address
Primary point of contact for all
communication other than the Applicant :
Father/Mother/ Brother/Sister/Spouse
etc. Mention a single point of contact for
all communications throughout the
process
Marital status
Source of lead
Preferred Course
Preferred Institute
Intake applying for
Course link
Counsellor name
Branch
New/Duplicate application
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Updated on 6th May 2024
SECTION 2 : PASSPORT INFORMATION
Number of passport/s
Passport Number/s
Date/s of expiry
Do you have all your original passports in hand?
If not, reason for the same
Any visa stamping/ immigration history in the current and
previous passport ?
Name change ( if any )when compared to other
documents :Education, Work experience, Bank documents
etc
SECTION 3 : EDUCATIONAL QUALIFICATION
Qualification (starting from Name of the College & Start date and end date Percentage
10th Std ) University affiliated with NIRC
or NAAC Ranking
to
to
to
to
REASON FOR GAP /LAG IN EDUCATION
Period of gap Reason Semesterwise Backlogs, Supporting documents
if applicable
SECTION 4 : WORK EXPERIENCE
Name of company Start and end date Designation Work experience certificate Bank statement attached-
available :Yes/No Yes/No
to
to
to
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Updated on 6th May 2024
to
OTHER INFORMATION
Have you served notice period as per the requirement
of your employer during your last resignation
Did you get terminated from any organization/company
Are you in very good and friendly relation with all of
your previous/current employers
Is there any forged experience or any other documents
submitted to us
For any abroad work experiences do you still have the
visa page , permit card ,salary account statement and all
other supporting evidences to prove the same
REASON FOR GAP IN WORK EXPERIENCE
Period of gap Reason Supporting documents
SECTION 5 : ENGLIGH LANGUAGE PROFICIENCY
Type of test Date of exam L S R W O.V
IELTS
PTE
OET
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SECTION 6 : FAMILY INFORMATION
Father’s Name
Occupation of Father
Nature of Occupation : Self
employed/salaried/business
Name of the Organization/ Business
with registration date and number
Annual Income of Father
Income Tax payee or not ?
Regular □ OR Recent □
Mother’s Name
Occupation of Mother
Nature of Occupation: Self-
employed/salaried/business
Name of the Organization/ Business
with registration date and number
Annual Income of Mother
Income Tax payee or not?
Regular □ OR Recent □
No. of Siblings
Occupation of Siblings
Annual Income of Siblings
Income Tax payee or not ?
If Married , Name of Spouse
Occupation of Spouse
Name of the Organization/ Business
with registration date and number
Name of the company in which your
Spouse is currently working
Location in which your Spouse is
working
Annual income of spouse
Income Tax payee or not?
Regular □ OR Recent □
Is your spouse accompanying
alongwith you during studies
No. of children, Gender and their age
No. of Siblings
Are your kids accompanying alongwith
you during studies
Do you have any relatives/friends from
[Link], Police,Political
party ,Media ?
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SECTION 7 : FUND PLAN
Type of funds: Education Own funds/sponsored Relation with sponsor Sponsorship amount Name of the bank
loan/FD/Savings/Salary/PF etc funds?
OTHER INFORMATION
If FD or Savings does the funds have min 6 months back up
and proper source to prove?
Explain the source of funds for FD/Savings etc
Do you have agricultural income, specify with total land
and produce?
If Education Loan With Collateral □ OR Without Collateral □
SECTION 8 : PREVIOUS VISA DECLINE ( IF ANY)
Country name Course and institute applied for Reason for rejection
SECTION 9 : PREVIOUS TRAVEL HISTORY ( IF ANY )
Country name Period of stay Purpose of travel
SECTION 10: MEDICAL DECLARATION
Are there any medical conditions or health concerns
that we should be aware of? This information is
necessary for regulatory compliance and will be treated
with the utmost confidentiality
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SECTION 11 : POLICE CLEARENCE CERTIFICATE
Have you ever been convicted of a criminal offense?
This information is necessary for regulatory compliance
and will be treated with the utmost confidentiality
Can you provide Police Clearance Certificate from all
those Countries ( including GCC, Middle east countries)
where you lived more than 6 months in the past 10
years, if applicable?
SECTION 12 : SELF DECLARATION
I hereby solemnly affirm and state that, I have answered all the questions and the above mentioned details
are true to the best of my knowledge and belief
Place :
Date : Signature of the candidate
For Office Use Only
COUNSELLOR’S REMARKS
Additional Comments ( if any )
COUNTRY MANAGER’S REMARKS
Eligible to apply for the course :Yes/No
Approved :Yes/No
Any other additional comments
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APPLICATIONS MANAGER’S REMARKS
Candidate ID
Application submission date
Any other additional comments
VISA MANAGER’S REMARKS
Offer received on File In Charge Visa briefing given on Any other additional comments
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