2025 Student Booking 2025 Student Applications (Nov-Dec 2024) Personal InformationName* First Last Student Number*Select Citizen type*South AfricanInternationalID Number*Passport Number*Email Address* Gender* Male Female Cell Phone Number*Building InformationAre you new to us?* Yes No City*--Select City--Port ElizabethEast LondonQueenstownBuilding (Port Elizabeth)*--Select Building--@Mr Price@Russel Road@Hallack Road(Ladies Only)@Tebro(Males Only)@Ackermans@Southern Life@Rennie House(Ladies Only)@Summerstrand (Admiralty Way)@Cawood street@Mercator chambers@Lincoln house (ladies only)@Anderson house@Bird Street@FNB@Trafalgar@HavelockAlternative PE Building*--Select Building--@Mr Price@Russel Road@Hallack Road(Ladies Only)@Tebro(Males Only)@Ackermans@Southern Life@Rennie House(Ladies Only)@Cawood street@Mercator chambers@Lincoln house (ladies only)@Anderson house@Bird Street@FNB@16 Clyde Street(Trafalgar)Summerstrand Admiralty Way can nolonger accept bookings; please choose an alternativeBuildings (EL)*@No. 56-61 Cambridge (Damelin Only)@ 38 Caxton Street (Perks Building)@ Perm Building@ No. 38 Terminus StreetBuilding (Queenstown)*--Select Building--@No. 1 Shepston@Sterling HotelRoom Number (NOTE: Room 11 & 13 in Admiralty Way is fully booked)Room Type* Single Sharing Do you wanna retain your previous room?* Yes No Institution of Study*Qualification*Academic Level*---Select Academic Level---First YearSecond YearThird YearFourth YearPost GraduateType Of Funding* Nsfas Private Paying Bursary Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Next Of Kin InformationNext of Kin (Full Name)* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Relationship (Next of Kin)*--Select Relationship--ParentGuardianSiblingWork TelephoneCell Phone*Where did you hear about us?* Internet Search From a Friend eNewsletter Social Media Radio I live/lived at MetroRez NMU/WSU/UNISA, etc Flyer/Poster Other Specify
