In this section you will provide basic information needed for your enrolment.
| 1.2 - Mode of Study |
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Select your preferred mode of study |
| Information |
Input fields |
Description |
| 1.2 - Student number |
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Please enter the student number that was given to you |
| 1.3 - NRC or Passport |
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Please enter the ID number provided on your national identification card or passport
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| 1.4 - Surname |
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Your family name |
| 1.5 - First Name |
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Your given name |
| 1.6 - Middle name |
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Optional |
| 1.7 - Sex (Gender) |
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| 1.8 - Date of Birth |
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Minimum age for applicants is 16 years |
| 1.9 - Nationality |
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| 1.10 - Streetname and number |
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For example: Munkoyo Street 1583 |
| 1.11 - P.O Box |
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For example: 804040 |
| 1.12 - City/Town |
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| 1.13 - Phone Number |
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For example: 0978168860 |
| 1.14 - Email Address |
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Optional (Yahoo, Hotmail, Gmail, etc) |
| 1.15 - Country |
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| 1.16 - Any Medical Condition? |
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| 1.17 - Marital Status |
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| 1.18 - 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) |
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