Student Application Form

Personal Information

Title*
MrMrsMs/MissDr/Prof

Surname*

Forename(s)*

Marital Status*
SingleMarriedDivorcedWidowed

Gender*
MaleFemalePrefer not to say

National ID / Passport Number*

Nationality*

Country of Permanent Residence*

Date of Birth*

Disabilities (if any)

Contact Information

Contact Address*

Home Telephone

Mobile Number*

WhatsApp Number*

Email Address*

Next of Kin Information

Next of Kin Full Name*

Relationship to Applicant*

Next of Kin Address

Next of Kin Home Telephone

Next of Kin Mobile Number*

Next of Kin Email Address

Sponsorship Information

Who will pay your fees?*
SelfParentGuardianCompanySponsorOther

Name of Sponsor / Organisation

Sponsor Contact Details

Employment Information

Are you currently employed by Lindnet Institute of Technology?
YesNo

Are you a dependent of a Lindnet staff member?
YesNo

Learning Information

Preferred Learning Mode*
OnlinePhysicalBlended

Programme Selection

First Choice Programme*

Second Choice Programme*

Third Choice Programme*

Entry Type*

Entry Type*
NormalSpecialMatureTransfer

Academic Background

Highest Qualification*
O LevelA LevelCertificateDiplomaDegreeOther

Previous School / Institution

Universities / Colleges Attended

Employment History

Work Experience

References

Reference 1 Full Name*

Reference 1 Contact*

Reference 2 Full Name

Reference 2 Contact

Required Documents

Upload National ID / Passport*

Upload Academic Certificates*

Upload Proof of Application Fee Payment*

Additional Notes

How Did You Hear About Us?

Select all that apply
NewspaperTelevision (T.V.)RadioInternetFriendSocial Media

Other Source

Policy Declaration

By proceeding with this application, you confirm that you agree to the Lindnet Institute of Technology Student Policies and Regulations.

View Student Policies and Regulations

I have read and agree to the Student Policies and Regulations.

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