Honours Registration Form

Student Details:
Title*
Name*
First Last
Nationality*
ID Number
OW Student Number

* If applicable
Passport Number
Campus of interest*
International Applicant - Attach Study permit
Max. file size: 20 MB.
Copy of ID*
Max. file size: 20 MB.
Latest Results*
Max. file size: 20 MB.
Gender you identify as*
Learning Disability*
Language*
Mobile*
Email*
Residential Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Highest Qualification*
School*
Select the dropdown and start typing your school's name.
Study Duration (Years)*
Field of Specialisation
Date Signed
MM slash DD slash YYYY
Signed at*
Signature*
Witness Signature*

Account Payer Details:
Title*
Name*
First Last
Account Holder ID Number*
Email*
Mobile*
Home Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Address to Appear on Invoice*
PO Box Suburb City Province Postal Code Country
Payment Method*
Settlement Date (only if Full Settlement)
Financial Aid Required*
- Yes
- No
Occupation*
Company Name*
Company Phone Number*
Alternative Email*
Referral
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Student Details: