Application Form

Fill out the form below to apply for admission to FAELLA ICT Institute. Please provide accurate and complete information.

A Personal Information

First Name *

Last Name *

Phone Number *

Email Address * We'll send confirmation to this email

Gender *

Male Female

Date of Birth *

Address *

B Educational Information

Highest Qualification *

Year Obtained *

Desired Programme of Study * Select the programme you wish to pursue

What's your motivation? *

C Guardian Information

Guardian's Name *

Relationship with Guardian *

Guardian's Phone Number *

Guardian's Email Address

Guardian's Address *

City

State / Province / Region

Country

D Certification and Agreement

I, (Full Name), hereby declare that the information provided is accurate and complete to the best of my knowledge. I agree to abide by the rules and regulations of FAELLA ICT Institute.

NB: Registration is nonrefundable.

Full Name (as it appears on ID) * This must match your official name

I certify that all the information provided is accurate and truthful. I agree to comply with the terms and conditions of this institution. *

Captcha *

13 * 10 =

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