Short Course Application Form

REGISTRATION DETAILS
Short Course you are applying for
APPLICANT'S DETAILS
First Name(s)* (State the first two, if you have more than two, as per your NIN card - please note same will appear on the final transcript and certificate)
Title
First Name
Surname
NIN
Date of Birth

DayMonthYear
Date
Home Tel
Mobile
Work Tel
Personal email Address cannot be same as work email
example@example.com
Complete Address
NEXT OF KIN (TO BE CONTACTED IN CASE OF EMERGENCY)
Full Name
Relation
Mobile
Work
Home
Company Name
Companys Complete Address
Work Mobile
Work Tel
Work email
example@example.com
DETAILS OF SPONSOR
Funding Type

My WorkplaceSelf-FundingOther Sponsor
Please state billing address
Please state any relevant disabilitymedical conditionallergydietary restriction you would like to share with the University
APPLICANT'S CHECKLIST AND DECLARATION
1. A copy of their NIN/ID card or passport. 2. Payment of the non-refundable application processing fee of SCR300 (if applicable) Important: Your application will be processed only if you have submitted a complete application, required documents and the application processing fee if required.

I certify that all the information given above is true.
File Upload

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Applicants Full Name
Signature

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Date

DayMonthYear
Date
Should be Empty:

REGISTRATION DETAILS