Primary Application Form

     
Surname   
Forename(s)   
Sex   
Date of Birth   
Nationality   
National ID(000000000A00)(No Spaces)   
Disabilities   
Address   
Contact Number (263777000000)   
Email Address   
 

  Next of Kin details


Surname   
Forename(s)   
Contact Number   
Email Address   
Relationship to you   
   

  Programs


PROFESSIONAL COURSE   
CHOICE OF MAIN SUBJECT