Register
Personal Details
Contact Details
Account Details
First name:
Last name:
Date of birth:
South African ID number:
School Attending/Attended:
Gender:
Male
Female
Demographic:
Black
Coloured
Indian
Caucasian
Black means African. Coloured or Indian means learners who are natural persons and citizens of the Republic of South Africa by birth or decent.
Do you have a disability?
No
Yes
Are you the first person in your family to attend University?
No
Yes
Contact Number:
Alternate Contact Number:
Home Address
Address Line 1:
Address Line 2:
City:
Province:
Postal Code:
Postal Address same as above
Postal Address
Postal Address Line 1:
Postal Address Line 2:
City:
Province:
Postal Code:
Email address:
Select your account password:
Type your password again: