Registration form

Enrol for January 2027.

Complete each section. When you submit, WhatsApp opens to 0773 435 885 with your application ready to send to the college.

Type your full name as your signature. You can print this page and keep a copy. The message to the college is written in English so every application can be read the same way.

Section 1 · Personal information

Full name

Date of birth

Phone number

Address

Emergency contact

Emergency contact name

Relationship

Emergency phone number

Section 2 · Academic information

High school diploma

Yes No

Previous college credits

Yes No

Institution

Current student status

Full-time Part-time

Programme or course of study

Section 3 · Programme details

Intended major or field of study

Specialisations or concentrations

Section 4 · Additional information

Do you have any disabilities or special needs?

Yes No

If yes, describe them below so the college can prepare.

Have you had any previous experience with online or distance learning?

Yes No

Any other information that may affect your academic experience

Section 5 · Financial commitment

I, Name in the financial pledge , pledge to pay my tuition fees before the end of the first week of each month.

I understand that failure to make timely payments may result in late fees, suspension of classes, or other penalties.

Section 6 · Terms and conditions

I certify that the information provided is accurate and complete.

I agree to abide by the college's policies and procedures, including academic integrity, student conduct, and financial obligations.

I understand that failure to comply with these policies and procedures may result in disciplinary action.

I agree to the statements in this section.

Section 7 · Consent and release

I consent to the college's use of my personal and academic information for educational purposes.

I release the college from liability for any claims or damages arising from my enrollment.

I agree to the consent and release.

Section 8 · Certification

I, Name in the certification , certify that I have read and understood the terms and conditions of registration and agree to abide by them.

Signature (type your full name)

Typing your name here is your signature on this application.

Date

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