Online Application Form - Port Moresby Business College

PART 1: STUDENT INFORMATION * Indicates Required Fields

Gender

Date of Birth

Mobile Number

Postal Address

Current Residence

Province & District

PART 2: ACADEMIC INFORMATION

School Last Attended

Grade 10 Cert No. & Year

Grade 12 Cert No. & Year

Grade 10 English / Maths Marks

Grade 12 English Lit / Gen / Adv Maths Marks

Attach Certificates (PDF/Images)

PART 3: PARENT / GUARDIAN INFORMATION

Father's Information

Mother's Information

PART 4: SPONSOR'S INFORMATION

Sponsor Type

Company / Organization Name

Contact Person & Number

Part 5: Processing Fee

Payment Amount (K) *

Payment Receipt (PDF only, Max 2MB) *

PART 6: OTHERS

Has any family member enrolled at POMBC before?

Yes No

Have you ever involuntarily withdrawn from any institution?

Yes No

PART 7: MEDICAL INFORMATION

Do you have any history of medical illness?

Do you suffer from any physical disability or visual/hearing defects?

PART 8: TERMS OF AGREEMENT

I confirm that I have read and fully understood all policies, rules, and regulations of Port Moresby Business College. I further confirm that as a student of this college, I am bound by these policies and regulations.

I accept and agree to the Terms of Agreement above. *

Applicant's Declaration Name

Parent / Guardian Declaration Name

PORT MORESBY BUSINESS COLLEGE