Registration

Please fill in your details carefully

NRC / National ID *

Surname

First Name

Middle Name

Gender

Male Female

Date of Birth

Nationality

Country of Residence

Street Address & House Number

P.O. Box

City / Town

Phone Number

Email Address

Disability Status

Marital Status

Learning Mode

Secondary Education Grades

These grades will determine eligibility.

Type of Certificate

Institution Attended

Emergency Contact (Next of Kin)

Full Name

Relationship

Phone Number

Street

Town

Postal Code

Choose the programme you wish to pursue: