B A I S Registration Form

Apply for B.A.I.S & D.I.S (B.A & DIPLOMA IN ISLAMIC STUDIES)

S.Y. 2018-2019

Basic Information
Full Name*

First NameMiddle NameLast Name
Sex
Nationality
Birth Date*

MonthDayYear
Place of Birth
ID Number
Phone Number

Area CodePhone Number
Whats app Number

Area CodePhone Number
E-mail*
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Person to contact in case of emergency:*
Parent/Guardian
Relationship*
ex. Father, Mother, etc.

Academic Background
High School Name*
Degree Program*
REQUIRED DOCUMENTS
Your latest picture*

Browse Files

Cancelof
ID Picture*

Upload a File
File should be in jpg format Cancelof
passport

Browse Files

Cancelof
Intermediate Degree*

Browse Files

Cancelof
Mark sheet*

Browse Files

Cancelof
Character certificate*

Browse Files

Cancelof
Birth certificate*

Browse Files

Cancelof
Adhar card

Browse Files

Cancelof