PROSPECTIVE STUDENTS DATA

Please enter and submit your details to register for admission opportunities.

First Name *

Last Name *

Gender *

Male

Female

Date of Birth *

Nationality *

Religion

Passport Number

Occupation *

Address Line 1 *

Address Line 2

City *

Postal/Zip Code

Country *

Phone Number *

Email *

Details of the Secondary School You Attended

Secondary School Name *

Secondary School Address *

Secondary School Grades *

Details of the Higher Education Institution(s) You Attended

Higher Education Institution Name *

Higher Education Institution Address *

Higher Education Grades and Qualifications *

Do You Need a Scholarship? *

Yes

Do You Need Students Loan? *

Yes

Declaration *

I hereby affirm that the information provided above are true and that any false or inaccurate information may result in the termination of my educational placement and my representatives are fully indemnified of any encumbrances that may arise from such termination.

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PROSPECTIVE STUDENTS DATA

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