IAA Online Application Form

PERSONAL INFORMATION

First Name: *
Second Name (if any):
Surname: *
Gender: *
Nationality: *
Impairment:
Date of Birth: *
Mobile Number: *
E-mail:

ACADEMIC QUALIFICATIONS ATTAINED

Form Four Index Number: *
O-Level School Name: *
Form Four Completion Year: *
Form Six Index Number:
A-Level School Name:
Form Six Completion Year:
College/University Name:
College/University Registration Number:
College/University Award:
College/University Completion Year
Award Verification Number

PROGRAMME APPLICATION INFORMATION (Select programme based on your priority)

Academic Year:
First Choice Programme: *
Second Choice Programme: *
Third Choice Programme: *
Campus (Place of Study): *
.