In this section you will provide basic information needed for your enrolment.
Information |
Input fields |
Description |
1.2 - NRC or Passport |
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Please enter the ID number provided on your national identification card or passport
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1.3 - Surname |
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Your family name |
1.4 - First Name |
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Your given name |
1.5 - Middle name |
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Optional |
1.6 - Sex (Gender) |
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1.7 - Date of Birth |
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Minimum age for applicants is 16 years |
1.8 - Nationality |
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1.9 - Streetname and number |
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For example: Munkoyo Street 1583 |
1.10 - P.O Box |
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For example: 804040 |
1.11 - City/Town |
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1.12 - Phone Number |
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For example: 0978168860 |
1.13 - Email Address |
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Optional (Yahoo, Hotmail, Gmail, etc) |
1.14 - Country |
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1.15 - Any Medical Condition? |
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1.16 - Marital Status |
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1.17 - Intake |
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Sponsor information |
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Type of Sponsor |
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Name |
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Sponsor given name or company |
Streetname / Plot number |
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For example: Jambo drive 115 |
P.O Box |
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For example: P.O Box 2169 |
City/Town |
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Country |
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Phone Number |
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Email Address |
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Optional (Yahoo, Hotmail, Gmail, etc) |
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Next of Keen information |
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Relationship |
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Name |
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Sponsor given name or company |
Streetname / Plot number |
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For example: Jambo drive 115 |
P.O Box |
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For example: P.O Box 2169 |
City/Town |
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Country |
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Phone Number |
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Email Address |
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Optional (Yahoo, Hotmail, Gmail, etc) |
1.23 - Reference (Optional) | | UPLOAD PDF AND IMAGES ONLY. |
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