Student Application -

Random*

Disclosure:
There are up to 10 sections to complete depending on the options you select.
"*" next to a field denotes mandatory information.
Only applications that have ACCEPTED the MBSE Terms and Conditions will be valid.

Personal Information

Have you studied at MBSE before?*

In this context a MBSE Student is someone that has previously studied with MBSE (since 2015) towards a qualification - IMPORTANTLY this does not include students that have done CPD, COB or Short courses.

Neither does it include students that have done Regulatory Exams with our sister company Moonstone Information Refinery.

Yes
No

Student Number

Email Address*

Enter Email Confirm Email

Please ensure your personal email address where possible as this is where you will receive communication regarding your application.

Title*

Initials*

Surname*

Please add your surname correctly as per your ID document submitted

First Name*

Please add your first name correctly as per your ID document submitted

Middle Name

Cell Phone*

Please enter your cellphone number correctly as this will be used to send your login details once you have been approved.

Landline Phone

Country*

Province / State*

Suburb / County*

Town or City*

Address*

PO Box Number

House Number & Street Name

Postal Code / ZIP Code*

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Are you employed?

Yes
No

Occupation

Employer

Work Address Line 1

Work Address Line 2

Work Address Line 3

City

Postal Code

Country

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Date of Birth*

Marital Status*

Single
Married
Divorced
Widowed

Gender*

Female
Male

Identification Type*

South African ID
Passport

ID Number*

Passport Number*

Preferred Language*

Home Language*

Last High school Year*

Name of High School*

Socioeconomic Status*

Previous Activity*

Matriculation/School Authority*

Demographic Information

Nationality*

Citizen Residence Status*

Immigrant Status*

Equity*

Area of Permanent Residence

Area Type

Urban
Rural

Student Application

Personal Information

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Demographic Information

Study Type

Programme Detail

Tertiary Education

Section

Person Responsible for Payment, Sponsor

Sponsor Postal Address

Sponsor Employment Detail

Bursaries, Scholarships and Grants

Section Break

Medical Condition/ Disability

Staff Member Details

Marketing

Emergency Contact Details

File Uploads

Terms & Conditions

MBSE Student Application Contract

Personal Information

1. Accuracy

2. Confidentiality

MBSE’s responsibilities

The Student’s responsibilities

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Personal Information

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Demographic Information

Study Type

Programme Detail

Tertiary Education

Section

Person Responsible for Payment, Sponsor

Sponsor Postal Address

Sponsor Employment Detail

Bursaries, Scholarships and Grants

Section Break

Medical Condition/ Disability

Staff Member Details

Marketing

Emergency Contact Details

File Uploads

Terms & Conditions

MBSE Student Application Contract

Personal Information

1. Accuracy

2. Confidentiality

MBSE’s responsibilities

The Student’s responsibilities

Section Break