Wes Eca Form
Wes Eca Form
NAME:
_________________ ______________________
Last/Family First/Given Middle
SEX
Female
Male
Please indicate your education details starting with your secondary school and mention also your
current education (if applicable).
YEARS YEAR OF
COUNTRY NAME OF UNIVERSITY NAME OF DIPLOMA ATTENDED GRADUATION
(FROM - TO)
Education Employment
Immigration Professional Licensing/Certification: Field_________________
I certify that: All of the information provided in the form is correct. I have read the required
documents and instruction on how to submit my education documents in www.wes.org/required and
agreed to submit my credentials as instructed. I have read all the instructions and policies provided on
pages 1 and 2 of this application and agree to the terms stated. I understand that the report is
advisory and not binding upon any agency or institution that uses it. I understand that fees are not
refundable once an application is submitted. I consent to the collection, use and disclosure of my
persona information as described in the application. I understand that my personal information will be
collected from and disclosed to such third parties WES deems necessary to evaluate my credentials.
Finally, I release World Education Services from any liability for damages resulting from the use to
which I or any agency or institution puts the evaluation report.
____________________________ _____________________________________
Name (Printed) Signature Date