Personal Application / Agent Application

Agent Name

Agent Email

SECTION I: PERSONAL DETAILS

APPLICANT DETAILS

Surname

Name

City Of Birth

Country Of Birth

Birth Date

Gender

Female Male

Nationality

(Select Multiple if Dual Nationality)

EU NON EU

Nationality 1

Nationality 2

Document No

Document Expire Date

Tax Code

Email Address

Mobile No

PERMANENT RESIDENTIAL ADDRESS

Street Name

House No

Apartment No

City/Country

ITA EU NON-EU

City

Country

Postal Code

Emergency Contact Name

Emergency Contact No

Emergency Contact Relationship

CURRENT ADDRESS OF DOMICILE (ONLY IF DIFFERENT FROM THE PERMENENT ADDRESS)

Street Name

House No

Apartment No

City/Country

ITA EU NON-EU

City

Country

Postal Code

SECTION II: ENROLLMENT

REQUESTS TO ENROLL AS A STUDENT INTO THE FOLLOWING PROGRAM(S)

Course

I Would like to start in

I WOULD LIKE TO START IN

Month

Year

APPLICATION TO THE 1st YEAR OF STUDIES TRANSFER APPLICATION to the 2nd YEAR OF STUDIES

I am

HIGH SCHOOL STUDENT UNIVERSITY STUDENT WORKING IN THE SAME FILED OF THE COURSE WORKING IN A FIELD DIFFERENT THAN THE ONE OF THE COURSE NOT WORKING

SECTION III: EDUCATIONAL BACKGROUND

EDUCATIONAL BACKGROUND*

I have a Bachelor Degree/Diploma I don’t have a Bachelor Degree/Diploma

HIGH SCHOOL DIPLOMA

High School Name

City

Country

Graduation Date

Grades / Expected Grades

High School Diploma

National Foreign

Which Nation / System

FIRST LEVEL BACHELOR DEGREE (For MST Applications)

Name Of Higher Education Institution *

City *

Country *

Graduation Date *

Grades / Expected Grades *

SECTION IV: LANGUAGE CERTIFICATIONS

TYPE OF CERTIFICATE

ITA CERTIFICATE NAME or EQUIVALENT

B1 B2 C1 C2

ENG CERTIFICATE NAME or EQUIVALENT

B1 B2 C1 C2

Language certificate provide later

I DO NOT POSSESS LANGUAGE CERTICATES AND I WILL SUBSTAIN AN ONLINE EXAMINATION FOR ADMISSION. I will provide a language certification at a later stage. |Yes

SECTION V: DOCUMENTS TO ATTACH

ID/PASSPORT

Motivational Letter/Personal Statement *

Portfolio

Language certificate

Students applying to accredited BA courses MUST provide an official B2 (or equivalent) Language certificate within the 1st year of studies. In absence of such certificate they will be required to follow a language course at RMIL

High School Diploma // Enrolment certificate to the last year // Predicted Grades ***

Bachelor’s Degree // Enrolment certificate to the last year // Predicted Grades ***

Transcripts **

DSA Certificate (disability)

ISEEU

Syllabus **

*compulsory
**compulsory ONLY for Transfer students
***The final Diploma will have to be submitted as soon as available

Please note: The following documents are not necessary at the moment of application but will be required later, and in any case not later than september the 1st . Ask your Advisor for further details. ISEE/ISEE Equivalent – Only Italian and EU students can submit the document to determine the Tuition fees according to the income brackets. The valid document should be submitted before confirming the Payment plan. DOV Declaration of Value – Students with foreign Secondary School Diplomas applying to accredited BA courses MUST provide this document which is issued by the Italian consular authorities of the country under which the Secondary School Diploma is released. DSA – LSD Certifications – For students with learning disabilities who wish to receive additional support in their learning.

Please note: the following documents are not necessary at the moment of application but will be required later. Ask your Advisor for further details. DOV Declaration of Value – Students with foreign Bachelor Degrees applying to Master Courses and wishing the credits to be validated by our Partner Universities MUST provide this document which is issued by the Italian consular authorities of the country under which the Bachelor Degree is released.

Tuition Fee

Enrollment Fee

Tuition Fee

Enrollment Fee

Tuition Fee

Enrollment Fee

Regional Tax

Tuition Fee

Enrollment Fee

Regional Tax

Tuition Fee

Enrollment Fee

Tuition Fee

Enrollment Fee

Tuition Fee

Enrollment Fee

Tuition Fee

Enrollment Fee

Tuition Fee Module 1

Tuition Fee Module 2

Tuition Fee Module 3

SECTION I: PERSONAL DETAILS

(Select Multiple if Dual Nationality)

SECTION II: ENROLLMENT

I WOULD LIKE TO START IN

SECTION III: EDUCATIONAL BACKGROUND

SECTION IV: LANGUAGE CERTIFICATIONS

SECTION V: DOCUMENTS TO ATTACH

Raffles Education Italy srl VAT no. 09324850966

Raffles Education Italy srl
VAT no. 09324850966