Kindly Fill Out this form as a questionnaire as they will help us with your process.

For further inquiry contact us on:

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Work Permit Related Concerns:

+48884358707 || +48781377247 (available on WhatsApp)
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Email *
By filling this form, you declare that you are releasing your personal data willingly and without any force, threat, manipulation, and/or under any pressure. You consent to have your personal data used for the processing of your requested procedure, namely, Admission and/or work permit. You consent to have Essential Solutions Consultancy Sp. z o. o, handle your personal data for either or both of the services aforementioned. *
First Name: *
Middle Name:
Last Name: *
Are you willingly providing your personal data, passport photo, academic documents to aid in processing your admission into the University discussed with you on the phone, email, or social network? *
Do you consent to having your visa page, visa letter and likes be used for advertising purpose, with your personal information as would be discussed with you by one of our agents blurred? *
Date of Birth *
City, State/Province, and Country of Origin *
City, State/Province, and Country of Current Residence *
Passport Number *
Phone number *
Preferred contact method *
If WhatsApp number is different from the contact number kindly specify in the "other" section
Father's Name: *
Mother's Name: *
Mother's Maiden Name:
Maiden name is the Surname/last name she had before marriage
Current/Residential Address: *
Permanent Home Address: *
Name of Last School Completed: *
If you are applying for Bachelors, put the name of your secondary school. If you are applying for Masters Put the name of your last completed University
The course being applied for: *
The degree being applied for: *
If a non degree program, please specify in "others"
What Country are you applying to? *
I undertake to observe the current legislation of the Country I am applying to, and in case of its violation I will bear ALL responsibility: *
I declare that I am not a member, sponsor, sympathizer, and/or in any way affiliated to any radical/extremist organization/group/subgroup (Taliban, al qaeda, al Nusra, Daish, ISIS/ISIL, Boko Haram, KKK, NAZI, etc.): *
I declare that the information I have supplied in this application form is correct and complete. *
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