Online Application Form

Fill in the form below and click on submit button.

SECTION A: PERSONAL DETAILS

Title:  
Forenames:  
Surname:  
Gender:  
ID Number/Passport No:  
Nationality:  
Date of birth:  
Home language:  
Any disability:  
Residential Address
(with code):
 
Postal Address
(with code):
 
Telephone:  
Cellphone:  
Email Address:  
Previous school:  
Highest qualification:  

SECTION B: NEXT OF KIN

Name:  
Contact numbers:  
Relationship:  

SECTION C: COURSE/GRADE DETAILS

Course /Grade /Subjects:  

SECTION D: PERSON RESPONSIBLE FOR PAYING FEES

Full Name:  
ID Number /Passport No:  
Telephone:  
Cellphone:  
Email:
Address: