IPSA Application form

Programme Details
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Applicant's Personal Details
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Address Details
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Mother / Guardian / Next of Kin Details
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Father / Guardian / Next of Kin Details
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Other Particulars
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Academic History

Supply full detail of studies at higher education institution(s). The following are regarded as higher education institutions: universities, previous technicon, and teachers' training and technical colleges. In the event of discontinuation of studies, indicate the date of cancellation.

Institution 1
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Institution 2
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Institution 3
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South African Matric Details
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Type of certificate

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High School Details
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Islamic Education History
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Specify the subjects and level completed:
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Credits / Deferments
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Medical Condition
The College must be informed of certain disabilities in order to determine whether it is able to make special arrangements to accommodate persons with such disabilities. It is the prospective student`s responsibility to inform IPSA and to make a declaration to the relevant professional board/s in this regard.
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List contact details of an emergency contact in the case of an emergency.
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Fees and Payment
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Alternate Contact Person
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Connect with us

Cnr of Johnston & Duine Road,
Rylands Estate 7764,  Cape Town,
South Africa.
PO Box 38316, Gatesville, 7766

  • dummy+27 21 638 1121

  • dummy info@ipsa-edu.org

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