MR & MISS CECIL COMPLEX 2025 - ENTRY FORM
Please note that only students staying at Cecil Complex are allowed to apply.
Closing date: 30 March 2025, Sunday
CANDIDATE DETAILS
Full body picture
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Full names of the candidate
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Title (Mr/Ms)
First Name
Middle Name
Surname
ID number
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Make sure the 13 numbers are correct
Date of birth
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Month
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Day
Year
Date of birth
Age
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Please Select
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Race
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Please Select
African
Coloured
White
Indian
Asian
African tribe
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Please Select
Zulu
Xhosa
Bapedi (North Sotho)
Batswana
South Ndebele
Basotho (South Sotho)
Venda
Tsonga
Swazi
Nigerian
Mozambican
Malawian
Student Number
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Year of study
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Please Select
1st Year
2nd Year
3rd Year
4th Year
B-Tech
Honors
Masters
PHD
Professorship
Course of study
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Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name of Residence
*
Please Select
Pura Vida (Kabokweni)
Cecil S Complex #1 (Kabokweni)
Cecil Complex #1 (Msholozi)
Cecil Complex #2 (Kabokweni, Swimming Pool)
Cecil Complex #3 (Kabokweni, New)
Room Number
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CHARACTERISTICS DETAILS
What are you hobbies?
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What are your goals and interests?
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List at least one or more thing(s) about yourself?
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What are your extramural/ Living & Learning Activities participated in at UMP/Other Institutions and or your community?
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Any Allergies?
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Are you on Chronic Medication?
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Candidate Signature
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Date
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Month
-
Day
Year
Date
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