All Nations University Admissions Form

PART B
Name of Parent/ Guardian *
Profession
High Quality Earned
Phone Number

Area Code Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Country

PART C
APPLICANT'S EDUCATIONAL HISTORY
ENTRY LEVEL *

Regular Mature Transfer Pre-Universuty
SCHOOL / INSTITUTION *
Current School / Institution
Year Entry *
EXAMINATION TO BE TAKEN
Examination Type *
Date of Examination *

Month Day Year
Date
Index Number *
Courses Name
Grades
CHOICE OF PROGRAMME OF STUDY
First Choice *
Second Choice *
Third Choice *
DO YOU NEED RESIDENT ACCOMODATION?

Yes No
Please Note: International Students are to stay in ANU approved housing.
DO YOU HAVE ANY FORM OF DISABILITY

Yes No
If yes, Please specify
UPLOAD RESULT SLIP / CERTIFICATE AND TRANSCRIPT HERE *

Cancel of
Please verify that you are human *
Should be Empty: