Application for Self-Sponsored Students & Continuing Students

Application for Self-Sponsored Students & Continuing Students

APPLICATION FOR SELF-SPONSORED STUDENT ADMISSION & RE - ADMISSION
New Student/Continuing Student*

New Student (Admission)Continuing Student (Re-Admission)
Kokopo Business College Bank Detail:
(Select Suitable Bank Account#)
Westpac Bank Account Number: 7907336201
Bank South Pacific Account Number: 7000947908
(DEPOSIT PAYMENT|REVERT DEPOSIT SLIP TO US)

reception@kokopobusinesscollege.com
Grades Ten (10) Subject Results

Grade Ten (10) Results

Rows	Distinction (D)	Credit (C)	Upper Pass (UP)	Pass (P)
English
Mathematics
Science
Social Science
Business Studies
Personal Development
Agriculture

GP
Grade Twelve (12) Subject Results

Grade Twelve (12) Results

Rows	Distinction (A)	Credit (B)	Upper Pass (C)	Pass (D)
Language & Literature
Mathemetics A
Mathemetics B
Physics
Chemistry
Biology
Business Studies
ICT
Economics
Geography
History
Information Technology
Legal Studies
Accounting

GP
Select Course

New Student (Admission) & Continuing Student (Re-Admission)
Course Programs - (please select appropriate course)
Mode of Study

Select Mode of Study

Rows	Full Time	Part Time	Short Course	Day Release	Repeating	Block Course
Mode of Study

Personal Details
Full Name*
Date of Birth

MonthDayYear
Gender
Email Address*
Mobile Number #1*
Please enter a valid phone number.
Mobile Number #2
Please enter a valid phone number.
Religious (Church)
District
Home Province
Province of Residency
Current Postal Address
Special Medical Condition (Yes/No)
If yes, please specify
Medical check Chronic illness (such as TB, Asthma etc.) must come from a certified Medical Officer

Sponsorship Details

Sponsorship

Rows	TESAS	Self Sponsor	Company
Sponsored by

Full Name
Email Address
Phone Number
Please enter a valid phone number.
Sponsor Postal Address

Academic Records
School Completed Grade Ten (10)
School Completed Grade Twelve (12)
Year Completed Grade Ten (10)
Year Completed Grade (12)
Grade Ten (10) Certificate Number
Grade Twelve (12) Certificate Number
Take Grade 10 Certificate Photo
Take Grade 12 Certificate Photo

New Student: Upload Grade 10 & Grade 12 Original Certificate, Acceptance Letter, Police Clearance, Medical Report and other relevant documents. (9MB)*

Cancelof
Continuing Student: Upload Original Transcript & Bank Deposit Slip) (9MB)

Cancelof

Other Course Attended
1. Name of Institution
1. Location Of Institution
1. Name of Qualification/Award/Course
1. Years Attended
1. Qualification/Awards/Course/Certificates (Completed Yes/No)
2. Name of Institution
2. Location Of Institution
2. Name of Qualification/Award/Course
2. Years Attended
2. Qualification/Awards/Course/Certificates (Completed Yes/No)
3. Name of Institution
3. Location Of Institution
3. Name of Qualification/Award/Course
3. Years Attended
Qualification/Awards/Course/Certificates (Completed Yes/No)

Work Experience
1. Name of Employer/Company
1. Location of Employer/Company
1. Years Employed (Example: 2010 - 2023)
1. Title Position Held
2. Location of Employer/Company
2. Years Employed (Example: 2010 - 2023)
2. Title Position Held
3. Name of Employer/Company
3. Years Employed (Example: 2010 - 2023)
3. Title Position Held

Student Resident
Select Resident*

Rows Day Student Boarding Student

Select Resident
Personal Declaration
Applicant Signature

Clear
Declaration & Date Signed

DayMonthYear
Take Photo

Type of Payments
Kokopo Business College Bank Detail:
(Select Suitable Bank Account#)
Westpac Bank Account Number: 7907336201
Bank South Pacific Account Number: 7000947908
(DEPOSIT PAYMENT|REVERT DEPOSIT SLIP TO US)

reception@kokopobusinesscollege.com
Should be Empty: