Application form | Nexen Education

University Application Form

* Required fields

Step 1

Who is completing this application?

This helps Nexen route your file correctly and speed up follow-up.

I’m a Student

You’re applying for yourself. You can still indicate if an agent is supporting you.

Student route

I’m an Agent

You’re submitting on behalf of a student. Agent details become required.

Agent route

Student Information

Basic identity and contact details (used for official application forms).

First Name *

Letters only

Middle Name

Optional

Last Name *

Letters only

Gender

Date of Birth *

Pick a date

Country of Birth

Optional

Nationality

Optional

Passport Number

Letters/numbers allowed

Passport Expiry Date

Pick a date

Email *

Phone (with code) *

Address line

Street, number

City

Optional

Country of residence

Optional

Family Information

Used for university forms and emergency contact details.

Marital Status

Emergency Contact Relationship

E.g. Parent, Sibling

Emergency Contact Full Name

Emergency Contact Phone

Parent/Guardian 1

Full Name

Phone

Occupation

Parent/Guardian 2

Full Name

Phone

Occupation

Additional Notes (optional)

Any relevant family context

Travel & Visa History

This helps assess visa risk and prepare accurate university/visa forms.

Have you traveled internationally before?

Countries visited (if yes)

List countries and years (optional)

Have you ever had a visa refusal? *

Refusal country (if yes)

Refusal date (if yes)

Pick a date

Refusal reason/details (if yes)

Short summary

Education History

Add your most recent institutions first. For Canada/UK, you can switch dates to Full Date (DD/MM/YYYY).

Institution 1 Date picker supported

Institution Name

Institution Address

Street, city, country

Country

Level

Field of Study

Attendance Dates Format

Choose Full Date if the university/visa form requests exact day (common for Canada/UK).

Start (Month/Year)

End / Expected (Month/Year)

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Start (Full Date)

DD/MM/YYYY

End / Expected (Full Date)

DD/MM/YYYY

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Institution 2 Date picker supported

Institution Name

Institution Address

Street, city, country

Country

Level

Field of Study

Attendance Dates Format

Choose Full Date if the university/visa form requests exact day (common for Canada/UK).

Start (Month/Year)

End / Expected (Month/Year)

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Start (Full Date)

DD/MM/YYYY

End / Expected (Full Date)

DD/MM/YYYY

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Institution 3 Date picker supported

Institution Name

Institution Address

Street, city, country

Country

Level

Field of Study

Attendance Dates Format

Choose Full Date if the university/visa form requests exact day (common for Canada/UK).

Start (Month/Year)

End / Expected (Month/Year)

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Start (Full Date)

DD/MM/YYYY

End / Expected (Full Date)

DD/MM/YYYY

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Institution 4 Date picker supported

Institution Name

Institution Address

Street, city, country

Country

Level

Field of Study

Attendance Dates Format

Choose Full Date if the university/visa form requests exact day (common for Canada/UK).

Start (Month/Year)

End / Expected (Month/Year)

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Start (Full Date)

DD/MM/YYYY

End / Expected (Full Date)

DD/MM/YYYY

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Institution 5 Date picker supported

Institution Name

Institution Address

Street, city, country

Country

Level

Field of Study

Attendance Dates Format

Choose Full Date if the university/visa form requests exact day (common for Canada/UK).

Start (Month/Year)

End / Expected (Month/Year)

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Start (Full Date)

DD/MM/YYYY

End / Expected (Full Date)

DD/MM/YYYY

Grade / GPA

e.g. 80/100 or 3.0/4.0 or A or First Class Honours

Program & University Details

This section matches the exact intake/campus requirements.

University Name

If you don’t know yet, enter "Any University".

University Country

Optional (leave blank if unknown).

Campus Name (if applicable)

Optional

Intended Year *

Format: 4-digit year

Intended Intake *

Level of Study *

Program Choice #1 *

E.g. MSc Data Analytics

Program Choice #2 (optional)

Optional

Supporting Documents

Uploads are stored privately and will appear in Applications Management.

Identity & Financial

Passport Copy