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Thank you for your submission! A copy of this form has been sent to your e-mail. The admissions department will be in contact with you shortly.
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ADMISSIONS AND ENROLMENT FORM
1. Student Details
ID No:
Surname
First Name(s)
Initials
Title
Date Of Birth
Gender
— Select —
Male
Female
Other
Nationality
Religion
Home Language
Special Needs
If none, please leave blank
Telephone Number
*Mobile Number
Fax Number
If not applicable leave blank
*Email
Residential Address
Postal Address
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2. Academic Qualifications
High School
Enter your main subjects below
Undergraduate
Postgraduate
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3. Employment Details
Employer
Direct Supervisor
Telephone Number
Mobile Number
Email
4. Next Of Kin Details
*Name and Surname
Relationship
Telephone Number
*Mobile Number
*Email Address
Residential Address
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5. Course Details
Course Title
Faculty
First Semester Modules
Unit Code
Unit Code
Unit Code
Unit Code
Unit Code
Unit Code
Unit Name
Unit Name
Unit Name
Unit Name
Unit Name
Unit Name
Class Type
Class Type
Class Type
Class Type
Class Type
Class Type
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6. Allergies, Special Health Or Medical Conditions and Food Supplements
Food and Allergies
Do you have any food, medication or environmental allergies?
Yes
No
Type Of Allergie
If yes, select any of the specific allergies below
Food
Medication
Environmental
If yes, please explain below
Do you have a Special Health Or Medical Condition?
Yes
No
If yes, please explain below
7. Payment Plan
Payment Plan
— Select —
Monthly
Quarterly
Semester
Yearly
8. Accomodation Booking
Booking
— Select —
Single
Sharing
No Accomodation
9. Payment Details
*Person Responsible
Residential Address
Telephone Number
*Mobile Number
*Email
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10. Documents Upload
*ID or Passport
Please upload the front-side of your ID or passport photo. Accepted files are JEPG,JPG or PNG.
jpg jpeg png
*O-Level Certificate
Please upload the front-side of your O’level certificate. Accepted files are JEPG,JPG, PDF or PNG.
jpg jpeg png pdf
Proof Of Payment
Please upload a copy of your proof of payment here. Accepted files are JEPG,JPG, PDF or PNG.
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Birth Certificate (Optional)
Please upload a copy of your birth certificate here. Please note this is not compulsory but may help in assessing your application. Accepted files are JEPG,JPG, PDF or PNG.
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Other Certificates (Optional)
Please upload any other certificates here. Please note this is not compulsory but may help in assessing your application. Accepted files are JEPG,JPG, PDF or PNG.
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11. Student Acknowledgement, Agreement and Consent
1. I have read the University’s student data protection and privacy collection statement.
2. If tuition fees are paid by an organisation registered with SRU as a sponsor, I authorise the university to release fee and academic progress information to my sponsor by any means available.
3. If under 18 years of age, I authorise the university to release academic progress information to my SRU approved guardian.
4. I agree to be bound by the student charter, statutes, regulations, policies and procedures of the university as amended from time to time and agree to pay all fees, levies and charges directly arising from my enrolment.
5. I consent to receiving electronically, information and business documents relating to my enrolment from the university and from the university owned companies that provide support services to students on behalf of the University.
*Agree
by ticking the box below you consent and agree to the information above
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