Acceptance

Name of College *

Student Details

Name *

First

Last

Gender *

Date of birth *

Entry Year *

Nationality *

Passport Number *

Home Country *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home telephone *

Parent's Details

Father's Name *

First

Last

Mother's Name *

First

Last

Do both parents have parental responsibility *

Yes
No

If not please provide details *

Do both parents agree that their child can attend the College? *

Yes
No

Will anyone other than the parents pay or guarantee payment of fees? *

Yes
No

If someone else please give details

I am happy my agent receives a copy of my invoices *

Yes
No
Not applicable

I have read the College's terms and conditions *

Yes
No

I undertake to pay the fees as they are due and either give the required notice of cancellation or withdrawal or to pay the required fees in lieu of notice *

Yes
No

I understand and agree that progression through the course is conditional upon achieveing the minimum academic criteria *

Yes
No

Father's Signature *

Clear Signature

Please draw signature

Mother's Signature *

Clear Signature

Please draw signature

Student Details

Parent's Details

Parent Portal

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