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Please complete ALL the following information or call +27 (31) 301 7774 to speak to one of our advisors who will be able to assist you with registration.

Faculty: *

Country of Residence:

First Names: *

Surname: *

E-mail:

Home Address: *

Postal Address: *

Postal/Zip Code: *

Tel. (Home): *		eg.(031)3017774

Tel. (Work): *		eg.(031)3017774

Mobile:		eg.088 888 9999

Education Level: *	Have NOT completed high school Grade 12 /Matric Have high school Grade 12 /Matric Have completed General Education /Further Education FET Higher Education Have completed 1 / 2/ years in a University or University of Technology Earned a Bachelors Degree /Masters Degree

Confirm: *	I understand that I will be contacted by a First Choice Varsity representative at the above Email address that I have submitted

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