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In which country is this ID or Passport held
number and street name
What is your current main activity?
(e.g. Laptop or PC)

Program

Please select the program of study you wish to apply for
The Bachelor of Nursing Science is currently not offered at Walvis Bay Campus
If you have selected a medical or healthcare field of study, in which country do you intend to practice after graduation

Tertiary Information

Degree or diploma name (e.g. Bachelor of Science)
Name of Tertiary Institution were qualification was obtained
Student number at that Institution
Degree or diploma name (e.g. Bachelor of Science)
Name of Tertiary Institution were qualification was obtained
Student number at that Institution
Degree or diploma name (e.g. Bachelor of Science)
Name of Tertiary Institution were qualification was obtained
Student number at that Institution
Name of school
Town/City in which the school is situated
Country in which the school is situated

High School Information

Name of Subject 1
Name of Subject 3
Name of Subject 4
Name of Subject 5
Name of Subject 6

Upload Photo and Documents

BANKING DETAILS:
    Bank name: NEDBANK Account Name: Welwitchia Health Training Centre (pty) Ltd.
      Account No: 11990228185
        Branch: Business Banking
          Branch code: 461617
            Swift code: NEDS NA NX
              (A scanned proof of payment is required, and must be attached)
Upload a passport size photo of yourself (.doc,.docx,.pdf, .jpg, .tiff,.jpeg,.gif,.png)
Educational transcripts, reports and certificates. (.doc,.docx,.pdf)
(.doc,.docx,.pdf, .jpg, .tiff,.jpeg,.gif,.png)
(.doc,.docx,.pdf, .jpg, .tiff,.jpeg,.gif,.png)

Parental Details

First Names of Father, Mother, Legal guardian or next of kin
Last Name of Father, Mother, Legal guardian or next of kin
In which country is this ID or Passport held
Permanent Residential Address of Father, Mother, Legal guardian or next of kin
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