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STUDENT
APPLICATION FORM
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Course Applying for:
Foundation in Science
Canadian Pre University
Doctor of Medicine (MD)
Bachelor of Medicine Bachelor of Surgery (MBBS)
University
BCE Education
Grodno State Medical University - Belarus
semester
January
February
March
April
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June
July
August
September
October
November
December
Your Details
Gender
Male
Female
Ordinary Level
Local
London
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Advanced Level
Local
London
A/S
A
B
C
S
D
E
F
Predicted
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B
C
S
D
E
F
A/L
A
B
C
S
D
E
F
A/S
A
B
C
S
D
E
F
Predicted
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B
C
S
D
E
F
A/L
A
B
C
S
D
E
F
A/S
A
B
C
S
D
E
F
Predicted
A
B
C
S
D
E
F
A/L
A
B
C
S
D
E
F
A/S
A
B
C
S
D
E
F
Predicted
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B
C
S
D
E
F
A/L
A
B
C
S
D
E
F
Higher Education / Professional Qualification
Parents / Guardian's information
Have you ever applied for student VISA in anther Country
Yes
No
Have you VISA application has been refused before?
No
Yes
Declaration
I declare that the information contained in this application is complete and correct to the best of my knowledge. I hereby agree to comply with the student rules and regulations of BCE Education (Pvt) Ltd which I have read and clearly understood before signing this declaration. I also agree for any penalties assessed for non – compliance with the rules and regulations. In signing this application for admission, I understand that this subsequent information placed in my student record will be used for the purposes of admissions, registrations and any other purposes in connection with the mandate of BCE Education (Pvt) Ltd. I accept that, if I do not fully comply with these requirements, the institute shall have the right to reject my application and I shall have no claim against BCE Education (Pvt) Ltd regarding the same. I hereby grant the authority to BCE Education (Pvt) Ltd to proceed with my application to the relevant university and I confirm that I shall not proceed my application to the same university through another agent / sub agent / official representative of the same university. BCE Education (Pvt) Ltd will assist in the application process, Pre-University pathway programs and relevant coordination with the universities. As an Education institute BCE Education (Pvt) Ltd shall assist and guide the students in the visa process but shall not be liable for obtaining student visa or any other visas which is under the sole discretion of the relevant immigration authorities. Therefore I understand that BCE Education shall not be held responsible for any visa refusals. I have read and clearly understood all the information explained to me by BCE Education (Pvt) Ltd, including all types of fees stated in the fee structure / student agreement extended to me pertaining to the respective university / program admission. I understand that type of fee paid in association with my application including Application / Registration Fee, Professional handling Fee, Visa fee or any other fee motioned in the student agreement / fee structure extended to me will not be refunded under any circumstances. Further I hereby confirm that I shall not request for such refunds from BCE Education (Pvt) Ltd under any circumstances.
AGREED
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