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FOREIGN STUDENT VISA APPLICATION - Dean International

FOREIGN STUDENT VISA APPLICATION - Dean International

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Student Visa Application Page 4<br />

PERSONAL INFORMATION<br />

Gender<br />

Male<br />

Female<br />

Height<br />

___________ (CM / IN)<br />

Weight<br />

__________ (KG / LBS)<br />

Birthdate<br />

(MM/DD/YY)<br />

____ / ____ / _________<br />

Country of<br />

Birth<br />

Marital Status Single Married<br />

Country of<br />

Citizenship<br />

Current<br />

Occupation<br />

Passport<br />

Number<br />

Drivers License<br />

Number (if Applicable)<br />

Country<br />

Have you had any drug/alcohol convictions within the past 12 months?<br />

YES / NO<br />

SCHOOL RECORDS<br />

List your three most recently-attended schools. (High School, University and/or Technical)<br />

SCHOOL LOCATION DATES ATTENDED DIPLOMA/DEGREE<br />

From<br />

To<br />

From<br />

To<br />

From<br />

To<br />

<strong>Dean</strong> <strong>International</strong>, Inc.

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