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QUE Technical Institute Application Form

QUE Technical Institute Application

Forenames

Last Name

Gender

Date of Birth

Phone Number

Email Address

Address

Address Line 1

Address Line 2

Area

District

Admission Information

Select your application details

Application Type

Semester Applied For

Course Applied For

Academic Information

Provide details of your academic background

Name of Last Primary/ High School Attended

Graduation Year

If you are a transferee from another institute, please fill out the fields below:

Name of Institute, Last Attended

Course Taken

Academic Year Last Attended

Academic Achievements / Extracurriculars

Emergency Contact Details

Person to contact in case of emergency

Forenames

Surname

Emergency Phone Number

Relationship

Address

Address Line 1

Address Line 2

Area

District

Parent / Guardian Information

Provide your parents' or guardians' details

Mother / Guardian Forenames

Surname

Job/Position

Phone Number

Address

Address Line 1

Address Line 2

Area

District

Father's Forenames

Surname

Job/Position

Phone Number

Address

Address Line 1

Address Line 2

Area

District

Financial Information

Please declare your financial dependency status

Are you financially dependent on your parents/guardians?

Yes, fully dependent

No, I am self-sponsored

Are you currently employed?

Employed Full-Time

Unemployed / Student

Employer Name

Scholarship & Financial Aid History

Declaration & Agreement

Please read carefully and sign below

I hereby declare that all information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any false statement may lead to immediate disqualification or dismissal from QUE Technical Institute.

Applicant's Full Name (E-Signature)

Initials

Date of Declaration