Application Form


Please read and accept our Terms and conditions before filling the Application Form.
Please fill all your details correctly and clearly. Any unclear information will cause delay for your application.

First Name :  * Family Name :  *
Gender :  *  Male            Female Nationalty :  *
Date of Birth :   dd / mm / yyyy    
Proposed Arrival Date :  *   dd / mm / yyyy Proposed Departure Date :  *   dd / mm / yyyy
Accommodation Preferences :  * Room Facilities :         Private Room            Shared Facilities Room

Room Type :                Single Bed Room      Double Bedroom      Twin Share Room

Share Preference :    Female Only Floor     Mixed
Parent / Guardian Name : Home Country Address :
Telephone Number : Fax Number :
Mobile Number : Email :  *
Emergency Contact Name :  * Emergency Contact Number :  *
Passport Number : Expiry Date :   dd / mm / yyyy
Visa Number : Expiry Date :   dd / mm / yyyy
Drivers Licence Number : Expiry Date :   dd / mm / yyyy
Name of School :
Signature : Date :   dd / mm / yyyy
* need to fill compulsory