Step 1: Please complete your Personal Information as requested below. All fields indicated with a * must be completed.
Step 2: Submit your Personal Information by clicking the 'Save' button or click the 'Clear Form' button to clear the inserted values.
Title: *
Initials: *
Surname: *
Full names: *
Date of birth: *
ID number: *
Maiden name:
Marital status: *
Gender: Male Female
Home language: *
Language for correspondence: *
Church denomination:
Ethnic group: *
Previous activity: *
Will you apply for subject exemptions: Yes No
Previous tertiary institution:
Highest grade passed i.e. 12/N3: *
Date of highest grade passed (YYYYMM): *
Examination number:
Type of senior certificate: *
Name of school attended: *
Examination authority: *
Postal address line 1: *
Postal address line 2: *
Postal address line 3:
Postal address line 4:
Postal code: *
E-mail address:
Cell phone number:
Study Permit Category:
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