Student Registration Form

Important Instructions:

Please fill in all sections accurately
All fields marked with * are required
Use CAPITAL LETTERS for text entries
For assistance: info@ubs-ac.com

1 PERSONAL DETAILS

SURNAME *

FIRST NAME *

OTHER NAMES

DATE OF BIRTH *

MARITAL STATUS *

GENDER *

Male Female

NATIONALITY *

NATIONAL ID *

RELIGION

2 CONTACT ADDRESS

TEL

CELL *

EMAIL *

PHYSICAL ADDRESS *

3 PARENT/GUARDIAN

NAME *

RELATIONSHIP *

ADDRESS

TEL

CELL

4 NEXT OF KIN

NAME *

RELATIONSHIP *

ADDRESS *

TEL

CELL *

5 PERSON RESPONSIBLE FOR FEES

NAME *

RELATIONSHIP *

CONTACT DETAILS *

CELL *

6 ACADEMIC DETAILS

PROGRAMME OF STUDY *

If your program is not listed, contact admissions.

STUDENT REGISTRATION NO *

YEAR OF STUDY *

7 REGISTRATION AND FINANCE

DATE OF REGISTRATION *

TUITION FEES PAID (Optional)

REFERENCE NO (Optional)

PAYMENT METHOD (Optional)

8 DECLARATION

I hereby declare that all information provided is true and correct. I understand that providing false information may result in cancellation of my admission.

NOTE: Fees payable should be at least a quarter of the semester fees.

SIGNATURE *

DATE *

I agree to the above declaration *

You will receive a confirmation email with your registration details.

Important Instructions:

Address

Phone

Email

Bachelor of Commerce in Marketing

Bachelor of Commerce in Business Management