Student Registration Form

STUDENT REGISTRATION FORM

PLEASE TYPE IN INFORMATION AND RETURN TO:

admission@montrealetudiant.com

PERSONAL INFORMATION

Family name:

First name:

Country of citizenship:

Gender:        Male         Female 

Date of birth (DD/MM/YY):

Permanent home address:

Telephone Number (1):                                            Telephone Number (2):

E-mail:

Last completed level of study:

Year of graduation:

FAMILY INFORMATION

Father

Family name: First name:

Mother

Family name: First name:

Maiden name:

PROGRAM SELECTION

Program title:

1) ................................................. 2).....................................

3)..................................................

DIPLOMA:

University Undergraduate                                 University Graduate

College Diploma

SESSION:             January 2008

                                August 2008

CHOICE OF PACKAGE DEALS: (SEE M.E.I. SERVICES FOR DETAILS)

1. Key-in-hand Special 

2. Admission +visa 

3. Admission + Installation 

4. Admission Package 

5. Welcome Package 