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Student Application Form

First Name *

Second Name

Surname *

Gender

Date of Birth *

(Year / Month / Day e.g.1969/01/16)

Identity Number *

Email Address *

Cell Number

Landline Number

Work Number

(if currently employed)

Alternative Contact Number

Home Language

Additional Languages Spoken

Highest Grade Passed *

Name of School where Highest Grade was obtained

Year during which Highest Grade was obtained

Area where you reside (live)

Where did you hear about Edu-Build?

Please specify

Why would you like to study through Edu-Build?

Are you currently employed?

(If so, name of Company)

Details of Employment

Position / Number of Years?

Country of Birth

Physical Home address *

Street, Suburb, Town and Postal Code

Course of your choice *

Which Campus are you applying to? *

Declaration *

I declare that the above information provided by me is correct. I undertake to submit all the documents in original for verification.

Documents to be Submitted