PRIDE STARS APPLICATION FORM

Section 1

Select Course

Select Campus

Select Course Intake

Section 2

Personal Information

First Name

Middle Name

Surname

Date of Birth

National ID Number

Height

Gender

Contact Information

P.O. Box

Code

City / Town

Mobile

Email Address

Emergency Contact Information

Name

Mobile

Relationship

Section 3

List All Secondary Schools/Colleges/Universities

Secondary

Institution

Dates Attended

Certificate / Qualification

Colleges/University

Institution

Dates Attended

Certificate / Qualification

Colleges/University

Institution

Dates Attended

Certificate / Qualification

Colleges/University

Institution

Dates Attended

Certificate / Qualification

Colleges/University

Institution

Dates Attended

Certificate / Qualification

Section 4:

Declaration

I hereby confirm that the information given above is correct. I understand that any misrepresentation of facts in this application could be cause for suspension or expulsion from the institution if discovered after enrollment. Also I have read and agree to the Privacy Policy

I Agree