International Admission Form

Select a Program*
Upload you recent passport sized photograph*
How you came to know about Gian Jyoti? Please tick*
Please specify the source

Personal Particulars

Student Name*
Email Id*
Mobile No. with code
Blood Group
Passport No.*
Passport Date of Expiry
Nationality*
Gender*
Date of Birth*
Address*
Father's Name
Email*
Mobile No. with code*
Occupation*
Annual Income*
Mother's Name*
Email*
Mobile No. with code
Occupation
Annual Income

Last Qualifications

S4/O Level/ IB1/ Other*
Year
School / Institution
Awarding Body
Grade/ Points/ Result
S6/A Level/ IB2/ Other
Year
School / Institution
Awarding Body
Grade/ Points/ Result

Work Experience (If Any)

No. of Years
Capacity / Area
Country
Company

Math Captcha + 79 = 80

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