REGISTRATION FORM 1 Photo 2 Personal 3 Academic 4 Contact 5 Review Step 1: Upload Your Photo Please upload a clear passport-sized photograph. This will be used for your official student identification. Click or Drop Photo Here Choose Photograph Accepted formats: JPG, PNG Maximum file size: 10MB Step 2: Personal Information Please provide your personal details exactly as they appear on your legal documents REGISTRATION ACKNOWLEDGEMENT SLIP GIDEON ROBERT UNIVERSITY STUDENT'S FULL NAME: STUDENT NUMBER: STUDENT NRC/PASSPORT: STUDENT STATUS: Select Status New Student Returning Student ADDITIONAL PERSONAL DATA Date of Birth: Marital Status: Select Status Single Married Divorced Widowed Nationality: Step 3: Academic Details Please provide your academic and device preferences DEPARTMENT/FACULTY: PROGRAM OF STUDY: LEVEL/YEAR: ACADEMIC VETTING & CLEARANCE GRADE 12 CERTIFICATE: Submitted Not Submitted ELIGIBILITY STATUS: Eligible Not Eligible ACCOUNT VERIFICATION: Verified Not Verified Step 4: Contact & Next of Kin How can we reach you and who is your emergency contact? STUDENT CONTACT DETAILS Phone Number: Email Address: Residential Address: EMERGENCY CONTACT (NEXT OF KIN) Full Name: Relationship: Contact Number: Email Address: Step 5: Review & Submit Please review all information before submitting Personal Information Student Name: Student Number: NRC/Passport: Date of Birth: Marital Status: Nationality: Student Status: Academic & Vetting Department: Program: Level/Year: Grade 12 Cert: Grade 12 Eligible: Account Verification: Contact Information Phone Number: Email: Address: Next of Kin Information Full Names: Relationship: Phone Number: Email: Previous Next Submit Registration
