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Distinction College-Application Form

This document is a college application form submitted by Liviesh Anderson. It contains personal information such as name, date of birth, address, contact details, next of kin, education history, preferred subjects and mode of study, health details, how fees will be paid, and how the applicant learned about the college. The form instructs applicants to complete it in capital letters and submit all required documents.

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Liviesh Anderson
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312 views2 pages

Distinction College-Application Form

This document is a college application form submitted by Liviesh Anderson. It contains personal information such as name, date of birth, address, contact details, next of kin, education history, preferred subjects and mode of study, health details, how fees will be paid, and how the applicant learned about the college. The form instructs applicants to complete it in capital letters and submit all required documents.

Uploaded by

Liviesh Anderson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DISTINCTION COLLEGE

Spanish Town: (876) 648-5080/354-8560/Kingston: (876) 668-7000/356-4167/Ocho Rios: (876) 539-0945


Ensure that the application is FULLY completed using CAPITAL letters. Applicants are responsible for ensuring that all supporting documents are submitted with this form.
SECTION A-PERSONAL DATA
th
Date: 29 DECEMBER 2021
Parish: ST. CATHERINE
Last Name: ANDERSON
Tel #: 876-379-016
First Name LIVIESH Email LIVIESHANDERSON1000@[Link]
Middle Name: RYANNA TRN#:123-882-338 NIS#: _______________________Occupation:
STUDENT
Date Of Birth: 30 / 10 / 2003 Age: 18 Gender: ☒ Female Male
DD MM YYYY
Marital Status: Married ☒ Single Other:
Address: LLOYDS PEN DISTRICT, BUSHY PAK P.O. ST. ____________________
CATHERINE Nationality: JAMAICAN

SECTION B-NEXT OF KIN


Last Name: ANDERSON
First Name MARVETT Tel #: 876-846-6477
Address: LLOYDS PEN DISTRICT, BUSHY PAK P.O. ST. Relation: MOTHER
CATHERINE
______________________________________________________________________________________________________________________________________________________________________
SECTION C-EDUCATION
Last School Attended: GLENMUIR HIGH SCHOOL Period attended: 2016 - 2021
Certificate/subjects obtained: MATHEMATICS
ENGLISH A
CARIBBEAN HISTORY
INFORMATION TECHNOLOGY
BIOLOGY
CHEMISTRY
PHYSICS
SPANISH
RELIGIOUS EDUCATION
Have you ever attend Distinction College: YES ☒ NO
If yes state location:____________________________________ course/subject:_________ ___________________________________________________________
_________________________________________________________________________________________________________________________________________________
SECTION D –COURSE/SUBJECT ([Link]/CAPE/CITY & GUILDS) to be done at Distinction College
_PRINCIPLES OF BUISINESS __ACCOUNTS__
ENGLISH B ___O.A._

What mode of teaching do you prefer?

Online classes ☒ Face to Face Classes

SECTION E- HEALTH
Do you suffer from any of the following? ☒Allergies Diabetes Depression/Mental Illness Epilepsy
Seizure disorder ☒ Asthma
Other:_____________________________________
SECTION F-FINANCIAL
How will be responsible for your fees? ☒ Self Student loan PATH Other:_______________________________________
SECTION G-MEDIA
How did you learn about us? ☒ TV Radio ☒ News Paper/AD’s Flyers ☒ Directory Friend
Student

Other ________________________________
I have completed this form having read and understood the rules of the institution and will abide by these rules.
Student Signature: L. ANDERSON

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