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Application Form

Our Online Application Form will help us assess your application and advise you on the best university program. In case of any additional questions, you can contact us at: [email protected]

Agent Application Personal Application

Please choose one*

New Student Transfer Student

Personal Information

First Name*

Last Name*

Gender

Email*

MobilePhoneInput

Please provide a number which you are actively use WhatsApp / Signal / Kakao / WeChat / Telegram

Birth Date*

Place of Birth*

Citizenship*

Country of Residence*

Father's First Name*

Mother's First Name*

Address

Address Line*

Address Line 2

City*

State

Country*

Zip Code*

Do you have a valid Passport?* Yes No

Passport

Passport Number*

Date of Issue*

Issued By*

Date of Expiry* We strongly advise to have min +2 years valid passport by your entrance the country so please extend your passport and email the scan of to [email protected]

At which Polish Embassy / Consulate Will You Apply for a Visa ?*

You should know we need to have your passport ASAP to apply the university. Please provide your Passport scan to [email protected].

Emergency Contact

Emergency Contact First Name*

Emergency Contact Last Name*

Emergency Contact Email*

Emergency Contact Phone*

Education

Level of Education* Your latest diploma

Year of Graduation*

Official Name of the Institution*

Country*

Study Language*

Native Language*

Other Languages

English Proficiency

English Language Proficiency*

Files

Passport Photo* Max file size 2MB

Photo* Max file size 2MB

High School Diploma* Max file size 2MB

Transcript* Max file size 2MB

University

Degree and/or Language Program You Wish to Apply for*

Choose a University*

Choose a Program of Study*

ADDITIONAL INFORMATION

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