IPSA - Online Application Form2

IPSA Short Course Application form

Programme Details

Indicate your selected study programme(*)

Justice & Peace-building (10 weeks)

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Applicant's Personal Details

Title (Mr./Mrs./Ms./Dr./Etc.)

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Surname

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First Names (In Full)

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Date of Birth

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Identity Number

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Passport Number

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Address Details

Postal Address

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Street Address

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Email Address

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Home Telephone

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international students please add full dialing code

Cellphone

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international students please add full dialing code

Other Particulars

Population Group - for South Africans only (Compulsory information required for government reporting purposes)

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Non-South African citizens, please indicate your country of origin

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Highest Qualification

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Other Qualifications

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Kindly note that auditing students will be required to attend classes, participate in discussions and will not be required to submit response papers and assignments. A Certificate of Attendance will be given on attendance of all classes.

Click for Security(*)

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Cnr of Johnston & Duine Road,
Rylands Estate 7764, Cape Town,
South Africa.
PO Box 38316, Gatesville, 7766

dummy+27 21 638 1121

dummy info@ipsa-edu.org

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IPSA Short Course Application form

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