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Basic Info
Name and email
Qualifications
Academic information
Personal Info
Contact & emergency

Highest Level of Qualification *

Completion Date *

Planned Intake *

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Basic Info
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Personal Info
Contact & emergency

Race / Ethnicity *

Religion *

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City / Town *

State *

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Parent/Guardian: Name *

Parent/Guardian: Phone Number *

Parent/Guardian: Email *

Parent/Guardian: Relationship *

Parent/Guardian: IC *

Parent/Guardian: Race / Ethnicity *

Parent/Guardian: Religion *

Parent/Guardian: Occupation *

Second Parent/Guardian: Name *

Second Parent/Guardian: Phone Number *

Second Parent/Guardian: Email *

Second Parent/Guardian: Relationship *

Second Parent/Guardian: Occupation *

Did either one of your parents/guardian complete a Bachelor's Degree? *

Do you wish to apply for the Local or Partner University track (Medicine and Dentistry programmes only)? *

Household Income *

Do you have any sibling(s) in this University? *

Either parent has an academic degree (Graduate Certificate / Diploma / Bachelor's / Master's / Doctoral Degree) *

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