MGR Immigration – Student Information Form

    Title
    First Name
    Middle Name
    Last Name
    Email:
    Date of Birth
    Phone
    Marital Status
    Address
    City
    State/Region/Province
    Postal / Zip Code
    Country
    Citizenship
    Term & Year Applying For
    Program of Interest
    City or Province


    10th Grade (Secondary School)
    Name of the School and City
    Passing year MM/YY to MM/YY
    Name of the School Board
    Overall Marks in Percentage %
    % of Marks obtained in English
    % of Marks obtained in Math
    % of Marks obtained in Science
    Backlogs/ Fail(s)
    Certificates / Mark Sheets / Transcripts
    12th Grade (Intermediate / High School)
    Name of the School
    Passing year MM/YY to MM/YY
    City / Country
    Overall Marks in Percentage %
    SUBJECTS in Grade 12 (list 5 major subjects) *
    Subject Name
    Name
    % of Marks
    Subject-1
    Subject-2
    Subject-3
    Subject-4
    Subject-5
    Certificates / Mark Sheets / Transcripts
    Masters / Bachelors Degree / Diploma – 1
    Degree / Diploma Earned
    College Name & City
    University or Board Name
    Subject of Study
    Percentage / GPA
    Passing year MM/YY to MM/YY
    Backlogs/ Fail(s)
    Certificates / Mark Sheets / Transcripts
    Masters / Bachelors Degree / Diploma – 2
    Degree / Diploma Earned
    College Name & City
    University or Board Name
    Subject of Study
    Percentage / GPA
    Passing year MM/YY to MM/YY
    Backlogs/ Fail(s)
    Certificates / Mark Sheets / Transcripts
    Masters / Bachelors Degree / Diploma – 3
    Degree / Diploma Earned
    College Name & City
    University or Board Name
    Subject of Study
    Percentage / GPA
    Passing year MM/YY to MM/YY
    Backlogs/ Fail(s)
    Certificates / Mark Sheets / Transcripts


    IELTS / TOEFL
    Test Date (mm/dd/yy)
    IELTS
    SCORES
    Scores Obtained
    Reading
    Writing
    Speaking
    Listening
    Total
    TOEFL Score
    Passport copy / English Language Score
    Any other details (like Work Experience), that you may wish to mention ( please type it in the box below) :
    Have you ever been refused a visa or admission to Canada or Somewhere else? *
    Refusal Letter / Documents
    Have any member of your immediate family ever been refused a visa or admission to Canada or somewhere else?
    Do you currently have an immigration application in process through a federal, provincial or territorial immigration program in Canada, other than Ontario?
    Is there any additional information you would like to provide in order to help us assess your candidature.
    Terms and Conditions *