MIM

Study Abroad - Profile Evaluation Form

First Name

Last Name

Prefered Course

Prefered Country

Work Experience

Intake

Intermediate Pass Out Year and %

UG/PG Specialization, Pass-out Year and %

Xth Passout Year and %

GRE/GMAT/SAT Score

English Profiency Score

Inter English Marks Average for 2years (if applying for waiver)

Do You require Loan or Financial Guidance

Yes No

Mobile Number

Do you have any Questions for Mentors? If yes please specify

State

Are you a Student /Working Professional

Agent Name