LMS - La Meta-Edu Solutions

First Name

Second Name

Last Name

Date of Birth

Gender

National ID Number

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Country

Country Code

Mobile Number

WhatsApp Country Code

WhatsApp Number

Email ID

Address

Qualification

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Institution Name

Address

Course Applying for

Apply in for

Specific College/University if any

If Yes enter the college/University details below :

College/University Name

Country of Admission

Alternative Country

Guardian Name

Address

Food and Accommodation

If food and accommodation not included with fee declare the Caretaker details below :

Name

National ID Number

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Address

Relationship

Attach Consent Letter

I hereby solemnly and sincerely affirm that the statement made and information furnished by me in the application form and also in all the enclosures there to, are true and correct. I have neither withheld any information nor furnished fraudulent information. Also, I agree to accept the punishment, if anything found wrong.

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