Programme Application Plato College

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Programme Application
(Photo)
Plato College of Higher Education • Directorate of Student Affairs •
Ayvansaray Caddesi No 33 Balat 34087 Istanbul • TURKEY •
Phone: +90 (0) 212 444 76 96 • Fax: +90 (0) 212 621 45 03 •
E-mail:
admissions@plato.edu.tr
Registration # ________________
SECTION 1: APPLICANT INFORMATION
NAME AND RESIDENCE INFORMATION:
Full Name in English (same as passport): ___________________________________________________________________________________
Family Name (Surname)
Given Name (First)
Middle Name (if any)
Residence Information (required): ________________________________________________________________________________________
Nationality
Country of Citizenship
Date of Birth (day/ month/ year): _______________________________________
Gender :
Female
Male
(i.e. 27 March, 1985)
CONTACT INFORMATION:
Permanent Mailing Address:
__________________________________________________________________________________________
House or Apartment Number and Street
____________________________________________________________________________________________________________________
City and District
Province /State
Country
Postal Code
Permanent Phone Number: _______________________________________ Fax Number: ___________________________________________
(country and city code)
E-mail address: ___________________________________________
Mobile Phone Number: ______________________________________
(country and city code)
Current/Local Address:
_________________________________________________________________________________________ _
(If different from above)
House or Apartment Number and Street
_________________________________________________________________________________________________
City and District
Province/State
Country
Postal Code
Current Phone Number: _______________________________________ Fax Number: _____________________________________________
(country and city code)
(country and city code)
ALTERNATE CONTACT: (This should be someone other than you or your parents, such as a relative, friend, or neighbour)
Full Name: ______________________________________________________________ His/Her relation to you: _______________________
Phone Number: ____________________________________________ E-mail address: _____________________________________________
PASSPORT INFORMATION:
Passport # : _______________________ Passport Country: _______________________ Issued By: ________________________________
Passport Issue Date (Day/ Month/ Year): ______________________ Passport Expiry Date (Day/ Month/ Year): _________________________
[Please note that all international students must make sure to renew or extend their student visas within Turkey in a timely manner.]
SECTION 2: ENROLLMENT AND ACADEMIC INFORMATION
PROGRAMME ENROLLMENT INFORMATION:
Mark the box of the programme for which you are applying
Architectural Restoration
Child Care
Graphic Design
Photography and Cinematography
Public Relations
Visual Communication
HIGH SCHOOL/ SECONDARY EDUCATION:
High School Name and Address: ________________________________________________________________________________________
Name
Street Address
____________________________________________________________________________________________________________________
City and District
Province /Oblast/State
Country
Postal Code
Year of Graduation (or anticipated Date of Graduation): ____________________ Certificate/Diploma Number: __________________________
Language of study in High School:
ENG,
ITA,
SPA,
FR,
OTHER ______________
PLATO App. Page 1 of 2

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