US/Canada Student Admission and Visa Counselling Family

Today's Date

First Name

Middle Name

Last Name

DATE OF BIRTH

PASSPORT DETAILS(please fill all) * ISSUE DATE/EXPIRY DATE/DATE OF BIRTH/PLACE OF ISSUE/PLACE OF BIRTH/PASSPORT NUMBER

CONTACT DETAILS * HOME ADDRESS(ES) IN THE PAST 6YEARS, STATE EACH ADDRESS WITH START AND END DATES

CONTACT ADDRESS, PART 2 * OFFICE ADDRESS(ES) IN THE PAST 6 YEARS, STATE EACH ADDRESS WITH START DATES AND END DATES

Phone/Mobile

What is the Ownership status of where you live?

Rented Apartment

Leasehold

Parents' Own

Owned by me

NEXT OF KIN * FULL NAME/RELATIONSHIP/PHONE NUMBER/HOME ADDRESS

Education History: Please state the year you resumed and graduated, the name of the institution, the course and the type of degree you were awarded. Please state all education history here.

Please enter the names and official institution-issued e-mail addresses only for two persons (academics or employers) who can critically assess your ability to do research work and complete advanced courses. Hotmail, Yahoo, Gmail, MSN or other free e-mail accounts are unofficial and not acceptable. The secure link will not be sent to any of these email addresses.

WHAT EXTRA CURRICULAR ACTIVITIES WERE YOU INVOLVED WITH IN HIGH SCHOOL/UNIVERSITY?

Have you done IELTS, SAT or TOEFL?

Yes

Please state your scores in each band of the test you took, please state date of test, and date of result

Have you had any visa refusals to the UK/USA/EUROPE/AUSTRALIA/CANADA?

Yes

IF YES, PLEASE GIVE DETAILS BELOW * DATE OF APPLICATION/REASON FOR REFUSAL( Please it is compulsory that you send a scanned copy of your refusal letter along with your documents), AND STATE THE COUNTRY(IES).

Have you ever been given medical treatment in the UK/USA/EUROPE/AUSTRALIA/CANADA?

Yes

GIVE DETAILS OF PREVIOUS TRAVELS * DATE OF TRAVEL/PURPOSE OF TRAVEL/COUNTRY/DATE OF EXIT

FATHER'S DETAILS * FULL NAME/DATE OF BIRTH/DEATH/HOME ADDRESS/PHONE NUMBER (please fill all)

MOTHER'S DETAILS * FULL NAME/DATE OF BIRTH/DEATH/HOME ADDRESS/PHONE NUMBER (please fill all)

SPOUSE'S DETAILS * FULL NAME/DATE OF BIRTH/DEATH/HOME ADDRESS/PHONE NUMBER (please fill all)

CHILDREN'S DETAILS IF APPLICABLE. Please list the name, date of birth of each child.

Please state the name, address, e mail and phone number of Principal or Head Teacher of each child with their present class.

Give details of your family members in the UK/USA/EUROPE/AUSTRALIA/CANADA, (Full names, relationship, type of visas they hold, and Passport number)

Have you applied for leave to remain in the UK/USA/EUROPE/AUSTRALIA/CANADA in the past 10 years?

Yes

Have you been to the UK/USA/EUROPE/AUSTRALIA/CANADA in the past 10 years? Please state Dates of entry, date of exit and purpose of travel.

Have you ever entered/stayed in UK/USA/EUROPE/AUSTRALIA/CANADA illegally?

Yes

Have you ever remained in the UK/USA/EUROPE/AUSTRALIA/CANADA beyond the validity of your visa?

Yes

Have you ever been deported, or removed from the UK/USA/EUROPE/AUSTRALIA?

Yes

Have you ever been refused permission to stay, or remain or refused asylum for either UK/USA/EUROPE/AUSTRALIA/CANADA or any other country?

Yes

Have you ever been refused entry at the border in UK/USA/EUROPE/AUSTRALIA/CANADA or any other country?

Yes

Do you currently hold or ever held any other nationality or citizenship apart from Nigerian?

Yes

Who is travelling with you? Please state their names. Please remember to send the scanned copies of their International Passport.

Study Plans: Please state country(ies) of choice, course(s) of choice, and intended level of study

How much is available for your study? You need to have at least 15m naira in the account for minimum of 6 months.

Who will sponsor your education and what is the relationship between you and them?

About your Sponsor * Please give a brief description of what your sponsor does as a source of income. You will need to submit documents in support of your claims.

Golden Heights GDPR and Privacy Policy

WAEC results and any other secondary or post secondary results

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Bsc certificate and transcript

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Birth Certificate of everyone travelling

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Updated and detailed CV

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Academic or Professional Reference

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IELTS Result

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Any Professional training done (certificate)

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Visa Refusal Letters if any

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Data page of international Passport

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Evidence of the source of income of your sponsor

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Scanned copies of past visas and stamped pages of your international passport

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Marriage certificate if applicable

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Dummy bank statement of sponsor/yourself and evidence of relationship with them, showing at least 15m naira for 6 months but has to be a 12 months statement

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Statement of Purpose stating why you want to study the course, why the destination of your choice, why the course and what plans do you have for your home country after the program considering the course?

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Price: ₦1,400,000

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