Student Form

STUDENT REGISTRATION FORM

A. PERSONAL DETAILS

Title

First Name

Last Name

Other Name

E-mail Address:

Contact Address

Phone Number.

Fax.

B. COURSE APPLIED

COURSE

Modules

Semester

Year

C. EMPLOYMENT

Organization

Position

D. STUDENT’S DECLARATION

I certify that the information given on this form is true to the best of my knowledge.

Signature

Date:

E. LIST OF SUBJECTS (For Professional courses only)/ BSc Degree Program students to attach copy/copies of relevant certificates and CV