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Millionaire Academy Registration Form
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MILLIONAIRES ACADEMY REGISTRATION FORM

SURNAME ----------------------------- OTHER NAMES --------------------------------------------------------------------------

RESIDENTIAL ADDRESS ---------------------------------------------------------------------------------------------------------

POSTAL ADDRESS ----------------------------------------------------------------------------------------------------------------

E-MAIL --------------------------------------- STATE OF ORIGIN ----------------------------------------------------------------

PHONE --------------------------------------------------------------- DATE OF BIRTH -------------------------------------------

SEX ----------------------- RELIGION--------------------MARITAL STATUS -----------------------------------------------------

ACADEMIC QUALIFICATION -----------------------------------------------------------------------------------------------------

LEVEL APPLIED FOR -------------------- PART TIME ------------ FULL TIME ---------------------------------------------------

ARE YOU SURE YOU WILL ATTEND ALL THE LECTURES? ----------------------------------------------------------------------

SPECIFY YOUR AREA OF INTEREST ---------------------------------------------------------------------------------------------

WHAT IS YOUR LIFE VISION? ----------------------------------------------------------------------------------------------------

HOW DO YOU FEEL ABOUT THE ACADEMY? ------------------------------------------------------------------------------------

SPECIFY YOUR AREA OF WEAKNESS --------------------------------------------------------------------------------------------

I ------------------------------------------------ SOLEMNLY PROMISE TO ABIDE BY THE RULES AND REGULATIONS OF THE ACADEMY.

STUDENT'S SIGNATURE AND DATE ---------------------------------------------------------------------------------------------

PARENT'S OR GUARDIANS SIGNATURE AND DATE ----------------------------------------------------------------------------



OFFICE USE

DIRECTOR OF STUDIES APPROVAL ---------------------------------------------------------------------------------------------

STUDENT NUMBER ----------------------------------------------------------------------------------------------------------------

OTHER INFORMATION ------------------------------------------------------------------------------------------------------------

DATE -------------------------------------------------------------------------------------------------------------------------------