All Nations University Admissions Form

PART B
Name of Parent/ Guardian*
Profession
Highest Qualification Earned
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

PART C
APPLICANT'S EDUCATIONAL HISTORY
ENTRY LEVEL*

RegularWeekendEveningMatureTransfer
CHOICE OF PROGRAMME OF STUDY
First Choice*
Second Choice*
Third Choice*
SCHOOL / INSTITUTION*
Current School / Institution
Year Entry*
EXAMINATION TO BE TAKEN
Examination Type*
Date of Examination*

MonthDayYear
Date
Index Number*
Courses Name
Grades
DO YOU NEED RESIDENT ACCOMODATION?

YesNo
Please Note: International Students are to stay in ANU approved housing.
DO YOU HAVE ANY FORM OF DISABILITY

YesNo
If yes, Please specify
UPLOAD RESULT SLIP / CERTIFICATE AND TRANSCRIPT HERE*

Cancelof
Please verify that you are human*
Should be Empty: