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Enquiry Form: Master Your Own Destiny

The document is an enquiry form for a student seeking academic advising from Uniserv, an organization that assists students with university applications, admissions, accommodation, and student visas. It collects personal details, previous education history, academic objectives, passport and visa information, and how the student heard about Uniserv. The form also has a section for Uniserv's internal notes on suggested universities and other remarks.

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Ancient Azazel
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72 views2 pages

Enquiry Form: Master Your Own Destiny

The document is an enquiry form for a student seeking academic advising from Uniserv, an organization that assists students with university applications, admissions, accommodation, and student visas. It collects personal details, previous education history, academic objectives, passport and visa information, and how the student heard about Uniserv. The form also has a section for Uniserv's internal notes on suggested universities and other remarks.

Uploaded by

Ancient Azazel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ENQUIRY FORM

Master Your Own Destiny

PERSONAL DETAILS
First Name (s) .......................................................................... Surname ..............................................
Date of Birth: ..........................................................................................................................................
Telephone No.: .......................................................... Parent's Telephone: ...............................................
Student Email: ..........................................................................................................................................
Parent's Email: ..........................................................................................................................................

PREVIOUS EDUCATION DETAILS


Education System: KCSE O Levels A Levels IB Diploma / Certicate Degree
School name ................................................................................ Year of completion ..............
Grades: Overall grades ..................... Mathematics ..................... English ........................
AS Subjects .................................................... A2 Subjects ...................................................
HL Subjects .................................................... SL Subjects ...................................................
Diploma / Certicate /
Degree Name: ..............................................................................................................................
University Name: ................................................................................ Year of completion ..............

ACADEMIC OBJECTIVE

Level of Study: Foundation Undergraduate Postgraduate PhD


Country of Interest: .............................................. Course Desired ......................................................
University Preferred: ..............................................................................................................................
Intake: Month ................................... Year ......................................................................
Who is funding you? Self Parents Others, please specify ........................................

PASSPORT AND VISA HISTORY

Do you have a passport? Yes No Nationality ..............................................................


Previous Visa Denial, if any: ..................................................................................................................

HOW DID YOU LEARN ABOUT UNISERV?

Facebook Twitter Instagram WhatsApp Uniserv website Newspaper Flyer T.V


Poster Shop advert Exhibition School Friend Relativesl University website

REFER FRIENDS

Name School / University Mobile No. Email address


ENQUIRY FORM
Master Your Own Destiny

CONSENT

Application / UCAS Number: .................. Application / Track Username: ................ Password: ...............
University of Choice: .............................................. Condition Requirement: ...........................................
University Insurance choice: .................................... Condition Requirement: ..........................................
I have applied to study at ......................................................... and I am seeking the advice of Uniserv
who will assist me and carry out my applications and admission, accommodation and student visa applications.
I authorize the university to accept requests including the following from Uniserv on my behalf:
Ÿ Request the university to send letters pertaining to my acceptance and accommodation to Uniserv.
Ÿ If applicable request the university to send an extension letter for visa application purposes.
Ÿ Request additional documentation deemed necessary for my application to both the university and the
relevant high commission
I conrm that UNISERV provides all its services free of charge.
Signature .............................................. Date ..............................................

FOR OFFICIAL USE ONLY


NOTES
Counselor Assigned : ...............................................................................................................................
Country: ...............................................................................................................................
Course: ............................................... Intake .................................................................

SUGGESTED UNIVERSITIES

1. 5.
2. 6.
3. 7.
4. 8.

OTHER REMARKS
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