Pacific Region Education Consultancy
太 平 洋 区 教 育 顾 问
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About Us
Strategic Partners
Study Overseas /
More About MBBS
Further Education Opportunities
Study Tours
Student Resources
Centre Resources
Application Form
Personal Details
* 护照姓名  Full Name (as in Passport)
* 性别  Sex
* Date Of Birth (dd-mm-yyyy)
* Place Of Birth
* 国 籍  Nationality
* Race
* Marital Status
   职业  Current Occupation
* Permanent Home Address
    Zip/Postal Code
* Country
* 电子邮件  Email
* 电话  Telephone

Travel Documents
* Type of Travel Document Held
* Travel Doc No.
* Travel Doc Issue Country
* Travel Doc Issue Date (dd-mm-yyyy)
* Travel Doc Expiry Date (dd-mm-yyyy)

Add Parent, Legal Guardian or Sponsor Details
 Parent, Guardian Sponsor's Name
 Parent, Guardian Sponsor's Contact

Upload Required Documents
Upload Your Photo here (width = 400px and height = 514px)
Upload Passport Page 1 here (Max 2 MBytes)
Upload Passport Page 2 here (Max 2 MBytes)
Birth Certificate (Max 2 MBytes)
Upload Education Cert 1 (Max 2 MBytes)
Upload Education Cert 2 (Max 2 MBytes)
Upload Education Cert 3 (Max 2 MBytes)

Select University / Courses   (Press CTRL key to make multiple choices)

Enquiries, Special Requests / Remarks

* Indicates Required Field.