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Learner Enrolment Form
Complete your application in 4 simple steps
1
Personal Details
2
Parent/Guardian
3
Programme & Documents
4
Review & Submit
Section A: Personal Details
Please provide your personal information
Title *
Select
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Mrs
Miss
Ms
Dr
Initials *
Full Names *
Sex *
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Race *
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ID/Passport No *
Email Address *
Phone Number *
Residential Address *
Highest Grade Passed *
Select Grade
Grade 9
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Grade 12 / Matric
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