PATH2UNI Online Registration Form

Registration Form

Personal Details

* Indicates required field

Name *

First

Last

Gender *

Male Female

Date Of Birth (dd/mm/yy) *

Nationality *

Email *

Phone Number *

Address *

Previous Education

Secondary School Attended *

Name of Qualification *

Subjects and Grades Achieved *

Did you continue studying after secondary school? If yes:

School Attended *

Name of Qualification *

Subjects and Grades Achieved *

Additional Information

Do you have unspent criminal conviction? *

Yes No

Do you have any condition which may affect your studies? *

Yes No

Applicant Declaration

I confirm that, to the best of my knowledge, the information I have given on this form is correct.

Full Name *

Date (dd/mm/yy) *

Submit