Agent

Student Information
Agent
*Student Type： International Domestic
*Name		English Name/Pinyin	PHOTO
*Gender	Male Female	Nationality
ID/Passport Number		Date of Birth
Address	ZIP code E-mail
* Country of Residence	Province City
Marital status	Country of Birth City of Birth
Current Occupation	Transfer from Transfer to
*Contact Number	Phone1. Phone2.
Education Background
Education		Certificate		Time
Work Experience	YES NO
Company/Hotel		Position		Time
Program
Program	HPP
Intake Date		Current Program Intake Date
English Level
English Level		Mother Tongue
Accommodation Level
Accommodation	Accommodation Outside Approved：Yes No
Medical Insurance (International Student)	Organized Independently Through College
Full Payment/Installment	Full Payment Installment
Terms		Payment Date
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