Registration Form – GIDEON ROBERT UNIVERSITY

Step 1: Upload Your Photo

Please upload a clear passport-sized photograph. This will be used for your official student identification.

Click or Drop Photo Here

Accepted formats: JPG, PNG

Maximum file size: 10MB

REGISTRATION ACKNOWLEDGEMENT SLIP

GIDEON ROBERT UNIVERSITY

Step 2: Personal Information

Please provide your personal details exactly as they appear on your legal documents

STUDENT'S FULL NAME:

STUDENT NUMBER:

STUDENT NRC/PASSPORT:

STUDENT STATUS:

ENTRY ROUTE:

EXEMPTED TO WHICH YEAR/SEMESTER:

ADDITIONAL PERSONAL DATA

Date of Birth:

Marital Status:

Nationality:

Step 3: Academic Details

Please provide your academic and device preferences

DEPARTMENT/FACULTY:

PROGRAM OF STUDY:

LEVEL/YEAR:

ACADEMIC VETTING & CLEARANCE

GRADE 12 CERTIFICATE:

Submitted Not Submitted

ELIGIBILITY STATUS:

Eligible Not Eligible

ACCOUNT VERIFICATION:

Verified Not Verified

Step 4: Contact & Next of Kin

How can we reach you and who is your emergency contact?

STUDENT CONTACT DETAILS

Phone Number:

Email Address:

Residential Address:

EMERGENCY CONTACT (NEXT OF KIN)

Full Name:

Relationship:

Contact Number:

Email Address:

Step 5: Review & Submit

Please review all information before submitting

Personal Information

Student Name:

Student Number:

NRC/Passport:

Date of Birth:

Marital Status:

Nationality:

Student Status:

Entry Route:

Exempted to Year:

Academic & Vetting

Department:

Program:

Level/Year:

Grade 12 Cert:

Grade 12 Eligible:

Account Verification:

Contact Information

Phone Number:

Email:

Address:

Next of Kin Information

Full Names:

Relationship:

Phone Number:

Email:

Step 1: Upload Your Photo

REGISTRATION ACKNOWLEDGEMENT SLIP

Step 2: Personal Information

Step 3: Academic Details

Step 4: Contact & Next of Kin

Step 5: Review & Submit

Personal Information

Academic & Vetting

Contact Information

Next of Kin Information

Generating PDF Slip