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Personal Details

Course Details

Please provide the details of the person to contact in an Emergency

More information required about tuition fees payments

English Language Proficiency

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Yes No
Yes No
Yes No

Education and Academic Qualifications

Please note that we may ask proof of all qualification and certificate obtained if they are required for acceptance on a course.

Name of Institute School/Collage/University Achieved Degree/Diploma/Certificate MBA/MBBS/BSc/HSSC/SSC DurationFrom(MM/YY) - To (MM/YY)

Employment History (if Any)

Employer Name Employer Address Job Title Employment Period From (MM/YY) - To (MM/YY)

How did you hear about us?


As it is our practice to obtain references prior to the interview stage. Please give the name and address of two referees who we may approach and the capacity in which they are known to you. The referees named must be people who can comment authoritatively on you as a person and must include your current or most recent employer, teacher or a person who knows you well.

Reference 1
Reference 2

Declaration I confirm by submitting this application form that, to the best of my knowledge the information in this form is correct. I have read the LSBE prospectus/course brochure. I understand and agree to abide by the conditions and regulations of the institute, which I accept as a condition of this application.