KOM Educational Consultants
Where are you currently studying?
Title g—Please choose an option—Mr.Ms.MissMrs.Dr.Prof.
*First / Given Name (as on your passport)
Middle Name (as on your passport)
*Last / Family Name (as on your passport)
*Gender—Please choose an option—MaleFemaleUnspecified
*Country of Birth—Please choose an option—CanadaUnited StatesAustraliaIrelandUnited KingdomAfghanistanAlbaniaArgentinaAustriaBahamasBahrainBangladeshBarbadosBelarusBelgiumBermudaBhutanBoliviaBosniaBotswanaBrazilBulgariaBurundiCambodiaCameroonChileChinaColombiaCongoCosta RicaCroatiaCubaEcuadorEgyptEl SalvadorEnglandEritreaEthiopiaFinlandFranceGermanyGhanaGreeceGuatemalaGuyanaHaitiHondurasHong KongHungaryIndiaIndonesiaIranIraqIsraelItalyJamaicaJapanJordanKazakhstanKenyaKoreaKosovoKuwaitLaosLebanonLibyaMalaysiaMauritiusMexicoMongoliaMoroccoMyanmarNepalNetherlands/HollandNew ZealandNicaraguaNigeriaPakistanPalestinePanamaPeople Republic of ChinaPeruPhilippinesPolandRomaniaRussiaSaudi ArabiaScotlandSenegalSerbiaSierra LeoneSingaporeSomaliaSouth AfricaSouth KoreaSouth SudanSri LankaSt. Vincent & the GrenadinesSudanSultinant of OmanSyriaTaiwanTajickistanTanzania, AfricaTrinidadTurkeyUgandaUkraineUnited Arab EmiratesVenezuelaVietnamWalesYemenYugoslaviaZambiaZimbabweUnknown
*Date of BirthMonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay12345678910111213141516171819202122232425262728293031Year2008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954
*Citizenship—Please choose an option—CanadianCanadian Permanent ResidentDual CDN / USAAmericanAustralianBritishIrishAfghanistanBahamianBangladeshBarbadosBelarusBhutanBotswanaBrazilCameroonChineseColombianCongoCosta RicaCubaEcuadorEgyptEgyptianEl SalvadorEthiopianFranceGermanGhanaGuatemalaHondurasHong KongIndianIndonesianIranIraqiIsraeliItalianJamaicaJapaneseJordanKazakhstaniKenyaKoreanLebanonMalaysiaMexicanMoroccanMyanmarNepalNetherlands/HollandNew ZealandNigeriaPakistanPanamanianPhilippinesPortugueseRomanianRussianSaudi ArabiaSenegalSierra LeoneSingaporeSomaliaSouth AfricanSouth KoreaSri LankaSyrianTaiwanTanzaniaUgandaUkraineUnited Arab EmiratesUnited KingdomVenezuelaVietnameseVincentianZimbabweUnknown
Note: Students holding or applying for Australian or New Zealand citizenship must apply as a domestic student. Contact the KOM team for further information on domestic application procedures.
Country of Existing Passport—Please choose an option—CanadaUnited StatesAustraliaIrelandUnited KingdomAfghanistanAlbaniaArgentinaAustriaBahamasBahrainBangladeshBarbadosBelarusBelgiumBermudaBhutanBoliviaBosniaBotswanaBrazilBulgariaBurundiCambodiaCameroonChileChinaColombiaCongoCosta RicaCroatiaCubaEcuadorEgyptEl SalvadorEnglandEritreaEthiopiaFinlandFranceGermanyGhanaGreeceGuatemalaGuyanaHaitiHondurasHong KongHungaryIndiaIndonesiaIranIraqIsraelItalyJamaicaJapanJordanKazakhstanKenyaKoreaKosovoKuwaitLaosLebanonLibyaMalaysiaMauritiusMexicoMongoliaMoroccoMyanmarNepalNetherlands/HollandNew ZealandNicaraguaNigeriaPakistanPalestinePanamaPeople Republic of ChinaPeruPhilippinesPolandRomaniaRussiaSaudi ArabiaScotlandSenegalSerbiaSierra LeoneSingaporeSomaliaSouth AfricaSouth KoreaSouth SudanSri LankaSt. Vincent & the GrenadinesSudanSultinant of OmanSyriaTaiwanTajickistanTanzania, AfricaTrinidadTurkeyUgandaUkraineUnited Arab EmiratesVenezuelaVietnamWalesYemenYugoslaviaZambiaZimbabweUnknown
Note: Leave blank if you don't currently have a passport.
Passport Number
*Main Source of Financial Support—Please choose an option—SelfFamilyLoanOther
*Source of other financial support
