International Student Application

Applicant Information

Name:

Date of birth: Country of Citizenship: Phone:

Current address:

City: State: Postal Code:

Passport No.: Issued in: Date of Expiry:

Email:

Academic Information

Current Institution Name:

Institution Address:

City: State: Postal Code:

Phone: E-mail: Fax:

Program/Degree: English Education Years:

Previous Institution Name:

Institution Address:

City: State: Postal Code:

Phone: E-mail: Fax:

Program/Degree: English Education Years:

English Proficiency: TOEFL/IELTS TOEFL/IELTS Score:

Program Choices

Program Name Start Term Campus

     
     
Academic References ( If available)

Name Address Phone/Email

     
     
I authorize the verification of the information provided on this form as to my academic history. I have received a copy of this application.

Signature of applicant: Date:

Signature of (Agent if applicable): Date:

Brampton  College  of  Health,  Business  and  Technology    

 2074  Steeles  Ave.  E.|  Unit  26  |  Brampton  |  ON  L6T  4Z9  
Tel:  +1  905  790  3940  |  Fax:  +1  905  760  2117  |  Email:  info@bramptoncollege.ca  
  

Application Fees ( 100 CA$)

Form of Payment:  Bank Draft  Credit Card  Wire Payment

Bank Draft / Wire Payment Information

Bank Name: Date:

Bank Address: Phone:

Draft/Wire Number:

Credit Card Information

Type:  V M Number: Date of Expiry:

Cardholders Name: CVV2:

Cardholders Address:

Cardholders Signature
( I authorize Brampton College to charge $100 as application fees )

Please attach the following along with your application form

1. All relevant pages of your passport

2. Academic Transcripts
3. Letter of Purpose along with Financial Plan for Fees and Residence in Canada
4. Further instructions for the payments of Tuition fees and the Deposit charges would be provided within LETTER OF ACCEPTANCE

Brampton  College  of  Health,  Business  and  Technology    

 2074  Steeles  Ave.  E.|  Unit  26  |  Brampton  |  ON  L6T  4Z9  
Tel:  +1  905  790  3940  |  Fax:  +1  905  760  2117  |  Email:  info@bramptoncollege.ca