Student Enrollment Form

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    Choose Career. ChooseFuture .

    ENROLLMENT FORM(To be flled in Capital Letters)

    1 Name __________________________________

    2. Family Name/Surname ___________________________________________

    3. ate o! birt" ___________________________________________

    #. $ermanent %ddress ___________________________________________

    &. %ddress !or Corresponden'e _________________________________________ _______________________________________________________________________

    . Conta't $"one No. *mail + ________________________________________

    ,. + $roo! ($assport/-oter + Card/ ri in li'ense et'.) _____________________

    0. (*) *du'ational $ro!essional ualif'ation !rom atri'ulation and on ards4

    SN *5ampassed

    6ear Name o! +nstitution

    7oard /8ni ersity

    ainsub9e't

    : o!mar;s

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    For Ofce use only

    Name o! t"e %ppli'ant ___________________________ Course ___________________________ Course uration ___________________________ Course Fee ___________________________

    Certifed t"at %ppli'antAs 'ontribution o! @s. __________ "as been re'ei ed on __________

    B= __________ =?'e Sta +nDC"ar e __________________

    Terms and Conditions:• Students s"ould be on time !or t"e 'lasses• %t least


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