Student Contract Form

Student Details
First Name *
Middle Name
Surname*
Date of Birth*
Age*
Gender*
Email Address*
Mobile No.*
Home No.
Home Address*
Postcode*
Health Condition & Additional Needs
Do you have any disabilities, health related conditions or special educational needs? If yes, please give brief details including medical evidence and any specific provisions you think may be required.
Course
Select your course
Course Details
Next of Kin Details (Emergency Contact)
Next of Kin Full Name*
Relationship*
Next of Kin Address*
Next of Kin Postcode*
Next of Kin Email Address*
Next of Kin Home No.
Next of Kin Mobile No.*
Tuition Fees Payment
Please select the payment option you will be using to pay your tuition fees* Full Payment AnnuallyMonthly Payment
Terms & Conditions of Admissions
Confirmation of T&Cs*
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