MBPS FORM – CLICU

Full Name *

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Middle

Last

Phone No. *

Email *

Country *

Region/State *

Province/Local Government *

Street Name *

Date of Birth *

Gender

Marital Status *

Course Applied for *

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Expected Certification *

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Entry Level *

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Name of Referee *

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Last

Reference Tel. No.

Your Expectation from the Ministry Business Professional School

Signature

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Attestation *

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I promise to abide by the rules and regulations guiding my admission into this University’s Ministry Business Professional School. I promise to display a very high sense of responsibility. I agree that my admission can be terminated at any point in time if I am found wanting in speech and character.