Global Trek Sign Up Form

Personal Information

Full Name

Date of Birth

Gender
MaleFemale

Passport Number (if available)

Contact Details

Your email Address

Your Mobile Phone Number (WhatsApp Enabled)

Parent/Guardian Name

Parent/Guardian Mobile Phone Number

Parent/Guardian Email Address

Home Address

Academic Background

Current School/Institution

Grade/Class or Year of Study

Intended Course of Study (if known)

Travel & Experience

Have you travelled internationally before?YesNo

Do you have a valid visa for Canada? YesNo

What excites you most about this programme? (Short Answer)

Medical & Special Needs

Do you have any allergies or medical conditions we should be aware of? YesNo

If Yes, please specify
Do you have any dietary restrictions? YesNo

If Yes , please specify

Programme Expectations & Goals

What are your key expectations from this programme? (Short Answer)
What are your career interests or future aspirations? (Short Answer)

Emergency Contact

Emergency Contact Name

Relationship to Student
Emergency Contact Phone Number
Upload supporting documents

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