Download Inquiry Form - Kean Bangladesh Center

KBC
A Kean University, USA and IML, Bangladesh Educational Collaboration
KBC, Kean Bangladesh Center - A Kean University, USA and International Medicare Limited, Banglaesh, is the
only English Language Laboratory in Bangladesh approved by the Kean University, NJ, USA. A pool of qualified
and experienced language trainers is at KBC to support its current and prospective learners in enhancing the
fundamental skills of the English Language. Moreover, KBC is the only admission center and liaison office of
the Kean University in Bangaldesh. In this regard, a wing of KBC has been assisting its interested students for
getting admission into the Kean University, USA.
Please, fill all the appropriate blanks in CAPITAL LETTERS.
Date :
Personal Information:
Name : First ...................................... Middle ......................................... Last ....................................
Sex : ........................ Date of Birth :
Marital Status : ..............................................
Contact No. : [1]
[2]
E-mail I.D. : .........................................................................................................................................
Passport No. : ............................................................................... Date of Expiry :
Educational Information :
Inquiry Form
Details
SSC/O'Level
HSC/A'Level
Graduation
Post Graduation
Other(s)
Result
Passing Year
Institution
Professional Information :
Duration
Designation
Organisation
Remark(s)
Foreign Language Proficiency :
Name of Language
Name of Test
Overall Score/Mark
Authority
Year
Computing Proficiency : ......................................................................................................................
............................................................................................................................................................
Please specify you interest :
> Which course do you need?
IELTS AC / IELTS GT / ESL / TOEFL ibt / Academic English / Other(s)
> Why do you need it?
Study Abroad / Work Abroad / Academic Purpose / Other(s)
> How can you be helped?
......................................................................................................
> Have you planned any date to start practicing? .............................................................................
> How many weeks can be spent on learning English/taking preparation for the test? .....................
> Would you like to receive welcome calls/messages from KBC? Write 'Y' if yes or 'N' if no.
KBC is highly pleased to have your affable cooperation. Thank you.
.......................................................
Your Signature