Biuc Student Admission Form

STUDENT ADMISSION FORM FOR BIUC STUDENTS

NOTE : This admission form is only for Britts Imperial University College (BIUC) students who wish to seek admission at Nortwest College Pty. Ltd.

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Select Campus

1. PERSONAL DETAILS

Title(Required)

Family name (as in passport)(Required)

Given name(s) (as in passport)(Required)

Date of birth(Required)

Gender(Required)

Male

Female

Other or Non-disclosed

Nationality (as per your passport)(Required)

Phone/Mobile (with country code)(Required)

Email Address(Required)

Student ID of BIUC (Britts Imperial University College)(Required)

Address in Home Country

Address(Required)

Country(Required)

Country