Student information

Full Name Gender FemaleMale ID/ Passport Number Date of birth Email Address Post Address Residential Address Region (For Namibian students only) Cell Number Phone Number Next of kin or gardian name Cell Number Home Address Citizenship

Study information

Level CertificateDiplomaAdvanced DiplomaPost Graduate DiplomaDegree Study Mode DaytimeEveningDistance Type of students New studentReturning student Eductional qualification Mature age entry

Upload the following documents

1. Copy of ID/Passport

2. Grade 11 or 12 certificate

3. Any other qualification obtained

4, Testemonial letter from employer(mature age entry)

Upload Documents Sponser EmployerParent Name of employer/parent Physical address of employer/parent Cell Number Occupation (if employed)

Payment of fees

Who Pays EmployerSponser Payment Plan CashInstallments Other (specify) Choice of study programme (1 & 2)

Declaration of study programme

I the undersigned applicant do hereby acknowledge that I understand the declaration of this enrolment con- tract, and hold myself bound hereby, including all other provisions relating this registration and by the rules and procedures of the College for the period being in force and acknowledge also that they may be altered during the period I am a registered student. I further acknowledge that I have familiarized myself with the College Prospectus and requirements of the program I intend to take and certify that the information I have given in this form in accurate in all respects. By signing underneath, I confirm to agree to the requirements mentioned above, including those listed at the back of this form and the College Ordinances.

Signiture

Clear

Date