Registration

STUDENT APPLICATION DETAILS

Fields indicated with * are compulsory

QUALIFICATION/COURSE OF INTEREST

First Name *

Last Name *

Phone *

Email Address *

Street Address *

Address Line 2

Town/City *

Province *

Postal Code *

Country *

SA ID Number

Date of Birth

Gender
MaleFemale

Marital Status
UnmarriedMarriedDivorcedWidowed

Maiden Name (if Applicable)

Language

SA Citizen
YesNo

SA ID Document

FOREIGN STUDENT DETAILS

Passport Number

Country of Origin

Duration in SA

Copy of Passport

Previous Country of Residence

Duration in Previous Country

NEXT OF KIN OR GUARDIAN

(If under the age of 18 or person responsible for payment)

First Name

Last Name

Relationship

Phone

Email Address

ID Number

Please Note: Ensure that you are familiar/aware of the relevant course fees and payment options. You must also ensure that you know what Stationery/Equipment is provided by Xela College of Design vs. what you as prospective Student must provide yourself.

Please Solve: 10+55=?

REGISTRATION APPLICATION FORM

STUDENT APPLICATION DETAILS

QUALIFICATION/COURSE OF INTEREST

FOREIGN STUDENT DETAILS

NEXT OF KIN OR GUARDIAN