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ADMISSION FORM
N.B.: Carefully Read the Instructions Bellow Before Completing this Form Instructions:
INSTRUCTIONS
THIS VISA WILL ALLOW ITS HOLDER TO HAVE :
Travel, work, study, circulate
Admission is 100%
We offer two types of job (Skilled and Unskilled jobs)
The accommodation and insurance are offered
Visa is 100% assured
Job opportunities whilst studying
Please Note:
If you provide any false information, you would be dismissed from the Program.
SECTION A
Personal Information
Surname__________________________________________________________
First Name_________________________________________________________________
Middle/Other names________________________________ Gender: M F
Date of Birth (DD/MM/YYYY): ________/_________/_____________
Nationality___________________________ Official Language ___________________________________
Status: Single Married Divorced
Do you have children Yes No If yes, how many children do you have? _______
Telephone number: 1. _______________________________ 2. ________________________________________
(Please provide a contact number that can easily be reached at all times)
E-mail Address: ________________ ___________________________________________________________
Religion _____________________________
Do you have a passport? Yes No
For Persons with Disability
NB: This information will NOT be used against you during process; It is to assist you and provide the necessary
assistance you would need.
Do you have any form of disability (e.g. Hearing, mobility, vision, speech, etc.)? Yes No
If yes, briefly describe the form of disability:
_______________________________________________________________________________________________
_____________________________________________________________
How long have you been living with this disability?
__________________________________________________________________________________
(It may be helpful to attach evidence of your disability e.g., Medical records, photographs)
SECTION B
INFORMATIONS VISIONS AND PERSONAL AMBITION
Travelling country: _________________________________
VSION AND AMBITIONS (250 Words)
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SECTION C
Parents Information or Tutor
Mother Father
Full Name______________________________ Full Name_______________________________
Country of Residence_____________________ Country of Residence_____________________
Nationality_____________________________ Nationality ______________________________
Occupation____________________________ Occupation ________________________________
Telephone: _____________________________ Telephone: _____________________________
Number of siblings (NB: this refers to the children of either your mother or father or both): ____________
Mother and father are: Living Together
Separated
Divorced
CONFIRMATION LETTER
Dear Ambassador;
I undersigned____________________________________________________________________________
applied for the_____________________________ VISA PROGRAM.
I hereby declare that the information herein given is a true and accurate account of my status. The Foundation
reserves the right to revoke my status off of the Program at any time and take the necessary legal action and
sanctions against me if the information given is found to be inaccurate.
Signature of Applicant:
Date:________/_________/____________
