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Student Application Form
Full Name:
Gender:
-- Select Gender --
Male
Female
Other
Date of Birth:
Age:
Marital Status:
-- Select Status --
Single
Married
Divorced
Widowed
Religion:
Nationality:
Home Address:
Email Address:
Phone Number:
Highest Grade Passed:
Course Applying For:
-- Select a Course --
Human Resource Management
Financial Management
Farming Management
Electrical Engineering
Management Assistant
Motivation / Additional Info:
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Important:
Please email a copy of your ID and academic results to
bopheloinstitute1@gmail.com
after submitting this form.
Submit Application
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