PUR-MIS

PIASS STUDENT APPLICATION

1. Applicant informations

Surname (Family name) *

Required

First name *

Gender *

Date of birth *

Phone number *

E.g: +22230000000

E-mail *

2. Academic informations

What did you study in Secondary School?*

Choose the Campus *

Which program Type do you want to study :

Choose the Level Applying for *

3. Supporting documents

1. A Level Certificate/Degree/Diploma *

2.School Report for S4,S5,S6/Transcript. *

3.Bank Slip for Application *

A Level Certificate/Degree/Diploma Issued on *

School Report for S4,S5,S6/Transcript Issued on *

Grade/Marks (N/A if not Applicable) *

Institution *

Country *

Sponsor *

Fields with * are required.