Informatics Institute Application Form

Brings the whole admission file into one submission: the applicant's personal and contact details, parent or sponsor information, how they heard about the institute, ordinary and advanced level exam results subject by subject, extracurricular activities, personal referees and how tuition will be paid. It ends with a declaration signed by the applicant and their guardian. Built for admissions offices at institutes and higher education centres.

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Applicant details

Intake

January intake May intake September intake

Full name (please use block capitals)

Gender

Female Male Prefer not to say

Date of birth

Nationality

National identity card number

Passport number (for other nationals)

Permanent home address

Nearest city or town

District or state

Country

Landline telephone

Mobile

Mailing address (if different from above)

Primary parent, guardian or sponsor

Title

Mr Mrs Dr Other

Relationship to the applicant

Full name

Occupation

Identity card or passport number

Date of birth

Address (if different from above)

Home telephone

Mobile

Office telephone

Second parent, guardian or sponsor

Title

Mr Mrs Dr Other

Relationship to the applicant

Full name

Occupation

Home telephone

Mobile

Office telephone

How you heard about the institute

How did you find out about our programmes?

Newspaper advertisement Social media The institute's website Education fair A visit to my school A friend or relative Another source

If you chose "other", tell us here

If someone referred you, give their name, address, telephone and student number if you know it

Ordinary level examination

I sat the exam and have results I am waiting for results Not applicable in my case

School attended

Province

Examination index number

Year of the examination

Medium of the examination

Mathematics result

English result

Subject 3

Result for subject 3

Subject 4

Result for subject 4

Subject 5

Result for subject 5

Subject 6

Result for subject 6

Subject 7

Result for subject 7

Subject 8

Result for subject 8

Subject 9

Result for subject 9

Subject 10

Result for subject 10

Advanced level examination

I sat the exam and have results I am waiting for results I have not reached that level yet

School attended

Province

Examination index number

Z score

Year of the examination

Medium of the examination

Subject 1

Result for subject 1

Subject 2

Result for subject 2

Subject 3

Result for subject 3

Subject 4

Result for subject 4

Subject 5

Result for subject 5

Subject 6

Result for subject 6

Subject 7

Result for subject 7

List your main extracurricular activities, community work and hobbies in order of interest, and include any major achievements

Personal referees

Referee 1: name

Referee 1: email

Referee 1: telephone

Referee 2: name

Referee 2: email

Referee 2: telephone

Who is expected to pay your tuition fees?

My parents or guardians Myself, from my own income My employer A scholarship or grant A bank loan

Are you applying for a bank loan?

Yes No Not sure

Details of the person funding the studies

Full name

National identity card number (please attach a copy)

Date from which payment is assumed

Reference month

Home telephone

Mobile

If an employer or another organisation will sponsor you, give the sponsor's name, address and position and attach their letter

Sponsor's telephone

Final declaration

I confirm the following before submitting this application

The information given is true and complete I accept the institute's rules and regulations I have attached the required documents I authorise my data to be processed for admission

Applicant's signature

Sign here

Parent or guardian's signature

Sign here

Date

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