Online Addmission Application


Enrolment Pre-Registration Form
This Enrolment Contract is subject to the Private Career Colleges Act, 2005 and the regulations made under the Act.


Note: Before filling the following blanks, please read the Academic policies(Section 1: Enrolment and Cancelation) .


Program Details:
The undersigned person hereby enrols as a student of  Canadian College of Avicenna as of        for the following.

Name of Student (First Name, Last Name): 

Name of Program:

Commencing on:   Expected Completion date:

Credential to be awarded upon Successful Completion of the program  


Mailing Address:
Number: , Street name:
Appartment Number: ,  Postal Code: , City: , Province: ,
Country:

Phone:   Email Address:


Study Status:
International student:  
Language of Instruction:  
Location of Practicum (Incliding City):
Class schedule (Insert days and times of week when classes are offered):


Admission requirements:

  
  
  
  



Fees:

   Tuition fees (CAN$):  
Acknowledgement:

I, , acknowledge that I have recieved a copy of:

  
  
  
  
  
  










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Canadian College of acupuncture

Head Office: 3601 Highway 7, Suit 400 Markham,Ontario L3r 0M3 Canada
Phone: 905 943 4272
 
Phone: 905 943 4272       General Information.: info@acpuncture.com

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