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Applied Diploma

APPLIED DIPLOMA ENROLMENT FORM 2024 – 25
FULL NAME OF APPLICANT
Family name*
Given name*
PERSONAL DETAILS
DOB*
Age*
Gender
NATIONAL IDENTIFICATION
Passport*
Identity Card*
Other Form*
PARENT INFORMATION
Mother's Name*
Father's Name*
PERMANENT ADDRESS
House No*
Street*
Town / city*
Country*
NATIONALITY
Passport Holder of (Name of Country)*
TELEPHONE CONTACT
County Code *
Mobile Phone *
EMAIL ADDRESS
First Email*
Second Email
LAST SCHOOL / COLLEGE
School/College Name*
School/College Address*
Level of Education
Year of Completion School/College *
Name of Certificate
Certificate
ENGLISH PROFICIENCY
English Proficiency
APPLIED DIPLOMA CHOICE
Applied Diploma Optional Module (Choose Only One)
LOCAL AREA ACE
Name of Advisor for Career and Employment *
By submitting this form, I hereby apply for registration into the Applied Diploma course as indicated in this form. I agree to abide by all rules and regulations of the Australia New Zealand Institute relating to the completion of study and issue of award of the Diploma on completion.

ANZ Institute provides specially designed courses with borderless access to enable individuals to build work – relevant knowledge and skills, and enhance their human capital in their organization. These courses are affordable, flexible and yet relevant for the workplace. A certificate of learning will only be issued upon completion of learning and assessment.

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