Online Application

Online Application Form

First Name *

Last Name *

Course Applied For (1) *

Course Applied For (2) *

Course Applied For (3) *

Course Applied For (4) *

Select Campus *

Admitted Through *

Specify Country *

Method of Study *

School / College *

Department *

Gender *

Marital Status *

Address 1 *

Address 2 *

City *

Zip Code *

State/Province *

Country *

Email *

Repeat Email *

Telephone (Home) *

Cell Phone *

College/Institution Attended 1 *

College/Institution Attended 2 *

College/Institution Attended 3 *

College/Institution Attended 4 *

Year ( From - To) *

Year ( From - To ) *

College Currently Attending *

Referee 1 (Name, Address, Email & Tel) *

Referee 2 (Name,Address, Email & Tel) *

Declaration
I hereby declare and certify that all the information contained in the online application form are true and correct and I accept that the university may suspend or dismiss me without any refund if the information are found to be false or misleading.
I further accept if admitted to abide by all the rules and regulations of the university.

Date Submitted *

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