top of page

HOME
ABOUT
- Our Partners
- Upcoming Events
STUDY ABROAD
- Study Options
- Support for Study Abroad
EMPLOYMENT
NEWS
CONTACT US

PENMAL CONNECT

Study Live & Work Abroad!

Expression of Interest

Basic Information Form

Undergrad

PERSONAL INFORMATION

Sex*

Male

Female

Other

(Select One)

Title*

Mr

Ms

Miss

Other

First name*

As is on Passport or ID

Middle Name

Last name*

As is on Passport or ID

Date of Birth*

Day

Month

Year

Nationality*

Country of Birth*

Home Address *

City or Town*

Province or State

Country*

EDUCATIONAL BACKGROUND

Current Institution or Last Institution Attended*

Qualification Name Received*

If you are currently completing a qualification, please indicate when you expect to complete this study (month/year)

Years Attended (e.g. 2024–2027)

ACADEMIC PROSPECTS

Program(s) of Interest (or Study Field of Interest);

Option One (1)

Option Two (2)

Countries Of Interest*

STUDENT CONTACT DETAILS

Phone Number*

Alternative Phone Number

Email Address

PARENT OR LEGAL GUARDIAN OR NEXT OF KIN CONTACT DETAILS

Option 1

Sex*

Male

Female

Other

(Select One)

Title*

Mr

Ms

Miss

Dr

Prof

Other

First Name(s)*

Last Name*

Phone Number*

Alternative Phone Number

Email

Relationship to Applicant*

Option 2

Optional

Full Name

Phone Number

Alternative Phone Number

DECLARATION

I hereby certify that the information provided in this form is accurate and complete to the best of my knowledge. I understand that Penmal Connect will use this information to assist me in my study abroad journey and provide the necessary guidance throughout the application process. I also acknowledge that completing this form does not guarantee admission or scholarship but serves as an initial expression

of interest.

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Join the Success!

APPLY NOW

MORE INFORMATION

Contact Us

Download Resources

bottom of page