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					APPLICATION FORM



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APPLICANT INFORMATION                                                           Courses applied for:

Name                                                                             - PND COMPUTER STUDIES
                                                                                 - PND BUSINESS & FINANCE
                                                                                 - ND COMPUTER STUDIES
                                                                                 - ND BUSINESS & FINANCE
Other Name                               I.C Number / Colour                     - HND COMPUTING
                                                                                 - HND BUSINESS (ACCOUNTING)
                                                                                 - HND BUSINESS (MANAGEMENT)
                                                                                 - HND BUSINESS (MARKETING)
Date of Birth    Age            Sex              Race                            - LCCI DIPLOMA IN BUSINESS
                                 M                                                 STUDIES
                                                                                 - LCCI GROUP IN ACCOUNTING
                                  F
                                                                                 - LCCI DIPLOMA IN MARKETING
Address                                                                          - LCCI PRIVATE SECRETARY’S
                                                                                   DIPLOMA

                                                                                FOR OFFICIAL USE ONLY
                                                                                Registration No.
  Tel. No. (H)                          Fax
           (O)
          (M)                          Email                                    Intake



                                                                                Duration of course




PARENT / GUARDIAN BACKGROUND                                                    EXAMINATION RESULTS
                                                                                (submit your certified examination certificates)

Name                                                                             - GCE ‘O’ & ‘A’
                                                                                 PRE NATIONAL DIPLOMA
                                                                                 (BDTVEC)
                                                                                 - COMPUTER STUDIES
Marital Status   I.C Number / Colour           Sex           Race
                                                                                 - BUSINESS & FINANCE
                                                 M
                                                F                                - OTHER QUALIFICATIONS
Address                                                                          SUBJECTS / UNITS                       GRADE




  Tel. No. (H)                          Fax
           (O)
          (M)                          Email


MEDICAL HEALTH HISTORY
No  Illness                                Yes          No          No    Illness                                Yes          No
01. ‘Bronchial’ Asthma                                              06.   Hearing problems
02.  ‘Mellitus’ diabetes                                            07.   Kidney problems
03. Hypertension                                                    08.   Mental sickness
04. Heart disease                                                   09.   Others
05. HIV / AIDS                                                      10.
APPLICATION FORM

 APPLICANT DECLARATION                                                           NOTIFICATION

 I would like my application to be considered for the course that is indicated   1. Please use this official form.
 in this form. I declare that the information given in this form and the
 documents attached are correct and complete. I understand that giving           2. Please fill up all information and attach
 false information would result in refusing my application. With this I             the documents that support your
 hereby agreed for Kolej IGS to check my certification wherever necessary. I        application (see check list). If the
 also confirm that I have copies of the certificates and information needed as      required information / documents are
 requested.                                                                         not attached your application will not
                                                                                    be considered.

                                                                                 3. Please retain a copy of the form for
                                                                                    your record.
  Signature of applicant                                  Date
                                                                                 CHECK LIST

                                                                                 Before you submit your application, make
                                                                                 sure you have:
 Please return the completed form and the appropriate documents to:                    Filled up all sections.
                                      Registrar                                        Signed the application.
                                      KOLEJ IGS                                        Attached copy of your certificates
                                      Komplex Setia Kenangan, Kiulap,                  GCE ‘O’ and ‘A’ Levels or
                                      Mukim Gadong, BE1518,                            equivalent.
                                      Negara Brunei Darussalam.
                                                                                       Provided other documents as
                                      Tel: 2238701
                                                                                       stated in the form.
                                      Fax: 2238710



                                                   FOR OFFICIAL USE ONLY

 COMMENTS:




                                   This application has been             Accepted
                                                                         Unsuccessful
                                                                         Others



                                                       ____________________
                                                             Registrar

				
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posted:7/21/2011
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