Please make sure that all the information you are providing here is real and accurate. The information is confidential and no one except the administrators have access to it. However, the information will be delivered to the CHE - Council on Higher Education, from where we don't have any responsibility or access.

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* 1. Title

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* 2. First Name

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* 3. Family Name

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* 4. Middle Name

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* 5. National ID (Only South African Residents)

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* 6. Date of Birth (dd/mm/yyyy)

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* 7. Student Number

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* 8. Race

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* 9. Country

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* 10. Home Language

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* 11. Gender

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* 12. Socio Economic Status

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* 13. Citizen Resident Status

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* 14. Home Address

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* 15. Postal Address

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* 16. Postal Address Code

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* 17. Cellphone Number

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* 18. E-mail Address

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* 19. Course of Study

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* 20. Home Province

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* 21. Enrolled Date (Today's Date in the format DD/MM/YYYY)

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* 22. Disability

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