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Enquiry Form





Nameyour full name
Phoneyour phone number


Current level of EducationCurrent level of Education


Percentage obtained in 10th Std
Percentage obtained in 12th Std (Group)


BA/B.Sc./B.Com./B.E./Etc. (mention field)
Percentage
Backlogs/Repeats


M.A./M.Sc./M.Com./M.E./M.Tech/Etc.
Percentage
Backlogs/Repeats


SAT/GMAT/GRE SCORE (if taken)

(Verbal, Quantitative and A.W. scores to be mentioned separately-(VERY IMPORTANT)- IF AWA score is less than 3.0, then our selection of universities will be different.



Whether student intends to take SAT/GMAT/GRE or not


TOEFL / IELTS SCORE (if taken)

(R- , W-, S- and L- scores to be mentioned separately) 

Mention whether the student intends to takeTOEFL/IELTS or not



Research Experience
Work Experience


Additional Qualification: (if any)
The program interested in
Maximum Budget for Bank Statement
Course/University of your choice



195A, 3rd Street, Gandhipuram, Coimbatore-641012.

+91 83 44 44 99 55, 0422-2495051

www.imperialpathways.com

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