Student Information Form

We’re excited that you’re interested in studying with us! Share your contact details and a few key details below, and our admissions team will reach out with more information about programs, entry requirements, and how to complete your full application.

Student Information

First Name

Last Name

Date of Birth

Gender

Male

Female

Permanent Mailing Address

Street or P O Box

City/Town

State/Province

Country

ZIP Code / Postal Code

Contact Information

Email Address

Alternate Email Address

Home Telephone Number

Work Telephone Number

Mobile Telephone Number *

Data Privacy and Consent *

I understand that my personal information will be collected and processed in accordance with the Protection of Personal Information Act (POPIA) and the institution’s privacy policy. I consent to the use of my information for admission-related communication and record-keeping purposes.

Communication Consent *

I agree to be contacted by the college via email, phone, or SMS regarding my inquiry, programs, or admission updates. I understand that I may withdraw this consent at any time by notifying the admissions office.