Student-DLI-Admission

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First Name

Middle Name

Last Name

Phone number

Must include country code (e.g. +63 if from Philippines)

Gender

Date of Birth

Format (YYYY-MM-DD)

Country of Birth

E.g. Philippines, Singapore etc.

Status in Canada

Primary Country of Citizenship

If holding dual citizenship, please indicate all citizenships

Passport Number

Passport Expiry Date

Country of Issue

Full Address

Must include all that applies. Street Number, Apartment Number, House Number, City/Town, Province, Country and Zip Code.

Emergency Contact Person (Full Name Required)

Could be spouse, parents, relative, etc.

Emergency Contact Person Number

Must include country code e.g. +63 if from Philippines

Relationship to Applicant

Intake Date

Where did you complete your last studies?

Name of institution attend. Could in college or high school. Put the latest school you attended.

School type

Status

Graduation Date

Format (YYYY-MM-DD)

Language of instruction

E.g. English, Tagalog, Chinese etc.