Application form | Nexen Education

Step 1 of 6

1

University & Applicant Details

University Name *

University Country *

Campus Name (if applicable)

Intended Year (e.g. 2026) *

Intended Intake *

First Name *

Middle Name

Last Name *

Gender

Date of Birth (DD/MM/YYYY) *

Country of Birth

Nationality

Passport Number

Passport Expiry Date (DD/MM/YYYY)

2

Contact & Emergency Details

Current Address

Email *

Phone (with country code) *

Alt Phone / WhatsApp

Emergency Contact

Full Name

Relationship

Phone

Email

3

Program Selection & Academic Background

Level of Study *

Intended Program / Major *

Alternative Program (optional)

Please list your most recent schools/universities. Start with the most recent.

Institution 1

Institution Name

Institution Address

Country

Qualification Level

Field of Study

Start Date (MM/YYYY)

End Date / Expected (MM/YYYY)

GPA / Grade

Institution 2

Institution Name

Institution Address

Country

Qualification Level

Field of Study

Start Date (MM/YYYY)

End Date / Expected (MM/YYYY)

GPA / Grade

Institution 3

Institution Name

Institution Address

Country

Qualification Level

Field of Study

Start Date (MM/YYYY)

End Date / Expected (MM/YYYY)

GPA / Grade

Institution 4

Institution Name

Institution Address

Country

Qualification Level

Field of Study

Start Date (MM/YYYY)

End Date / Expected (MM/YYYY)

GPA / Grade

Institution 5

Institution Name

Institution Address

Country

Qualification Level

Field of Study

Start Date (MM/YYYY)

End Date / Expected (MM/YYYY)

GPA / Grade

4

English Proficiency, Work Experience & Funding

English Proficiency

Test Taken

Score

Test Date (DD/MM/YYYY)

Employment 1 (optional)

Employer Name

Position

Start Date (MM/YYYY)

End Date (MM/YYYY)

Main Responsibilities

Employment 2 (optional)

Employer Name

Position

Start Date (MM/YYYY)

End Date (MM/YYYY)

Main Responsibilities

Employment 3 (optional)

Employer Name

Position

Start Date (MM/YYYY)

End Date (MM/YYYY)

Main Responsibilities

Employment 4 (optional)

Employer Name

Position

Start Date (MM/YYYY)

End Date (MM/YYYY)

Main Responsibilities

Employment 5 (optional)

Employer Name

Position

Start Date (MM/YYYY)

End Date (MM/YYYY)

Main Responsibilities

Financial Support

Who will fund your studies?

Sponsor Name (if applicable)

Annual Budget Available (in USD or local currency)

5

Documents Upload

Upload clear scans (PDF or image) where possible. Large files may take a moment to upload.

Identity & Financial

Passport Copy

Bank Statement (covers 1 year tuition + living)

High School Documents

High School Transcript

High School Diploma

Undergraduate Documents

Undergraduate Transcript

Undergraduate Diploma

Graduate Documents

Graduate Transcript

Graduate Diploma

Additional Documents

Certificates

CV / Resume

Statement of Purpose

Letter of Recommendation 1

Letter of Recommendation 2

Other Documents

6

Visa, Health, Agent & Declaration

Visa History

Applied for a visa before?

Countries (if yes)

Any visa refusals?

If yes, brief explanation

Health & Accommodation

Any medical condition?

Accommodation preference

If yes, medical details

Agent Information (if applicable)

Are you applying through an agent?

Agency Name

Agent Full Name

Agent Email

Agent Phone

By submitting this form, I confirm that the information provided is accurate and truthful to the best of my knowledge.

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