Global Immersion
Registration

Application Form

First Name

Last Name

Gender

Date of birth

Nationality

Do you have a valid passport?

Upload Passport (If available)

Which program are you applying for? *

University/College Name

Year of Study

Branch / Stream

Current CGPA / Percentage

Email Address

Phone Number

Current Address

Parent/Guardian Phone

ⓘ Note: You can skip this step for now and submit your application immediately. Payment can be completed after your application is reviewed.

Amount to Pay:
€150 Euros

Scan the QR code or click the link below to complete your payment securely via Razorpay.

Exchange Info:
1 Euro = 112 INR (approx)
150 Euros (equivalent in INR)

Transaction ID / Reference Number

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