PROFILE OF INTERNATIONAL STUDENT
Surname               :        _______________________________________
Name                  :        _______________________________________
Date of Birth         :        _______________________________________
                                                                                Photo
Gender                :        _______________________________________
Nationality           :        _______________________________________
Father's Name         :        _______________________________________
Mother's Name         :        _______________________________________
Course Name           :        _______________________________________
Department            :        _______________________________________
Whether yearly / semester      _______________________________________
Duration of Course    :        ______________________________________
Date of Classes Joining:       ______________________________________
Sponsoring Agency     :        _______________________________________
Resi. Address         :        _______________________________________
(India)                        _______________________________________
                               _______________________________________
Permanent Address     :        _______________________________________
                               _______________________________________
                               _______________PIN Code__________________
Mobile No.            : (Country)______________________________________
                           (India) _____________________________________
E-Mail                :        _______________________________________
Date of Arrival       : (India)_________________(Pbi. Univ.)__________
Time of Arrival       : (India)_________________(Pbi. Univ.)__________
Passport Detail
Passpaort No. : _________________ Date of issue____________Place of issue___________
Passport issue Authority (with country name) :_______________________________
Date of Expiry        :        ________________________________________
Visa Detail
Viza No. : _________________ Date of issue____________ Place of issue_____________
Visa issued country _____________ Date of Expiry : ________________
Visa Type _____________________ Visa Valid For (Entry)__________________
Purpose of Visit __________________________________________________________
Date : ______________   Signature of Student