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rrpanchal7420@gmail.com
Email Id________________________________________________________________________________ Kalol
City I live in _______________________________
71.50
My aggregate marks in Class 10 _____________% 2017
Year __________________ 75.69 2019
In Class 12 ______________%Year_________________
-
Bachelor % age ________________% -
Course _______________________________________________________Year completed ________________
-
University Name______________________________________________________________Total fails/reappears/backlog______________________
Gap in education: tick □1 year □2 years □3 years+
Tick the following:√ Tick the following:√
1. I am a female applicant Yes No
2. I am married If answer is no go to Q5, If Yes then tick the highest qualification of your husband/ wife Yes No
My spouse Qualification: tick □12 th
□Diploma □BA □B.Sc □BTech □BCom □MBA □MA □MCom □MTech
Other ________________________________________ Date of Marriage_________________________
3. My spouse is : □self employed □Business □Govt □ Pvt Service □Farmer □Dairy □Unemployed Yes No
Spouse ITR available : tick □Rs 2 lacs □3 lacs □3 lacs+ per yr
4. I have a children: tick □1 □2 □3. Number of children over 6 years old : □1 □2 □3 Yes No
5. I am working. If yes, I have ITR available: <2 lacs, 2 lacs, 3 lacs, 3 lacs+ per year. Salary in cash □ Yes No
15. Have □ you or □spouse or □parents been refused any visa for Australia/ US/ UK/ Canada/ NZ – Yes No
□ Student □Tourist □TR □PR Reason for Refusal:
Requirement _____________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
Version: K.06.2019