The Core Residential College

The Core Female Residential College
Full Name*

TitleFirst NameLast Name
Address*

Street Address

Street Address Line 2

State / Province

Postal / Zip CodeCountry
District*
Identity Card No.*
Identity Card*

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Upload I/C or Passport Cancelof
Passport Size Photo*

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For accommodation ID Card Cancelof
Nationality*
Contact Number*
E-mail*
e.g: myname@example.com
Institution*
Course Level*
Semester*
Offer Letter*

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Upload Institution Offer Letter Cancelof
Payment type*

Cash
Current resident*
Room Number
Additional info
Should be Empty: