Student Application Form


Which course are you applying for?
Course Code
When do you expect to begin your study program
Tell us more about you?
Full Names
National ID/Passport No.
Home District
Place of Birth
Date of Birth
Age
Nationality
Marital Status
Highest Level of Education attained
Postal Address
Tel Number
Email Address
Have you/are you currently recieving any training, if any please give in the space provided

 

YesNo(Please check(tick) only one)
Who is sponsoring you study?
Parent/Guardian Fullname.
Occupation.
Parent/Guardian Address.
Daytime Phone Contact No.
Additional Information.
How did you know about ISMAT College?.
If given opportunity at ISMAT will you uphold to finish you training period without dropping

 

YesNo(Please check/tick only one)

For all applying for clinical medicine you are required to send a money order of 1000/= payable to ISMAT.