NT-Form - 2ndGen Institute

Student Name *

First

Middle

Last

Date of Birth *//

Gender *

Email *

Phone Number *

Address *

Address Line 1

City

State / Province / Region

Country

What is your highest level of education *

What's your field or course of study? *

GPA or Equivalent *

Have you taken an English Proficiency Test? *

If Yes, write Test Name and Score *

What is your Program of Interest? *

Which STEM Course or STEM-Designated Course do you plan to study in the USA?

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Upload a passport size photo *

Click or drag a file to this area to upload.

Please ensure your photo meets the following requirements before uploading: File Format: JPEG (.jpg, .jpeg) or PNG (.png) only. File Size: Maximum 2 MB. Dimensions: Minimum 300 x 375 pixels (aspect ratio 4:3). Resolution: At least 300 DPI for clear quality. Background: Plain, light-colored (preferably white or off-white). Face Position: The face should be centered and occupy 70-80% of the photo. Failure to meet these guidelines may result in the rejection of your submission. Thank you for your cooperation!

Can you or your sponsor(s) provide a bank statement(s) totaling $10,000 -$40,000? *

Bank statements can be provided by you or by multiple sponsors, relatives or friends for visa application. You have the option to pay $100 for a conditional loan letter instead of providing a bank statement. However, submitting a bank statement is our preferred method.

Would you like to be in the priority group to get Nekotech to support and defer your ticket to USA payment till after loan is received? *

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Have you ever traveled outside of Ghana before? *

Are you currently being processed for an immigrant or non-immigrant visa to the United States? *

Have you been refused a visa at the United States embassy within the past five years? *

Do you have any physical or health conditions that require medical or public assistance? *

Provide details of your health condition *

Do you have any criminal records? *

Provide details of your criminal records *

Do you have a history of deportation? *

Provide details of your deportation *

Do you have any relatives in the United States of America? *

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Do you currently hold a valid passport? *

Will your passport expire within the next 12 months? *

If Yes kindly renew your passport to enable you going to the Embassy.

Please enter your passport number. *

Please specify the place where your passport was issued. *

Please provide the date your passport was issued. *

Please provide the expiration date of your passport. *

Upload a clear image of the bio page of your passport. *

Click or drag a file to this area to upload.

Ensure the uploaded file is clear, in JPEG/PNG/PDF format, and does not exceed 5 MB

Upload an image of the back page of your passport. *

Click or drag a file to this area to upload.

Ensure the uploaded file is clear, in JPEG/PNG/PDF format, and does not exceed 5 MB

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