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Anchor College Registration Form
Name: /Surname / First Name / Middle Name *
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth : Town / Region *
Contact Number *
Correspondence Email Address *
Nationality *
Religion *
Marital Status *
Passport Number
Diving Licence Number
Educational Background (Institution/ Duration/ Certificate Obtained) *
Select a Programme of Choice *
How did you get to know about us?
Clear selection
Refund Policy *
I Agree
School Fees paid is non-refundable
I declare that all information provided are correct & I authorize the academic board to cancel my application if any information provided is found to be false later on.
Full Name of Sponsor *
Phone Contact of Sponsor *
Email Address of Sponsor
Postal Address of Sponsor
Occupation of Sponsor
Place of work of Sponsor
Relationship to Sponsor *
Any Comments?
Sponsors Declaration & Acceptance of Terms & Aggreement *
I Agree
All information provided on this form are true
I agree to pay all fees promptly
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