Matriculation Application (#3) (#25) (#30) (#31) (#43)

P I M S

Port Moresby Institute of Matriculation Studies

APPLICATION FOR ADULT MATRICULATION

(After completion, click Submit button below to send online)

Date

Photo

Choose File

First Name

Last Name

PIMS Centre

Study Program Applied For (select and tick)

Pre Matriculation (Gr 10 Leavers)

Adult Matriculation (Gr 10 Leavers)

Adult Matriculation and Skills Training (Gr 10 Leavers)

Grade 12 Upgrading (Gr 12 Leavers)

Grade 12 Upgrading and Skills Training (Gr 12 Leavers)

Study Mode

Fulltime

Correspondence

Employment Status

Working

Not working

Enrollment Category

New

Re - Enrolling

Transferring - In

How did you find out about PIMS?

Personal Details

First Name

Last Name

Gender

Home Province

District

LLG

Home Village

Marital Status

Religion

Date of Birth

Postal Address

Address Line 1

Address Line 2

City/Town

Province

Zip Code

Country

Whatsapp Number

Reenter same whatsapp number

Landline No (if applicable)

Residential Address

Employment Details (if you are working)

Employment Details for working correspondence students

Employer

Employment Address

Your Position

Work Landline No

Name of your Human Resource (HR) Manager

Landline No (HR Manager)

Digicel (HR Manager)

BMobile (HR Manager)

Email (HR Manager)

Does your company/organisation have a school fee scheme for workers?

Yes

Can be negotiated

Educational Details

Last School Attended

Province

Highest Grade completed

Year

Copy of Grade 10 certificate

Choose File

Copy of Grade 12 certificate

Choose File

Sponsor Details

Name of Sponsor/Guardian

Employer (if applicable)

Employment Address

Position

BMobile No (Sponsor)

Digicel No (Sponsor)

Landline No (Sponsor)

Email (Sponsor)

Who will pay your fees?

Parents

Company

Guardian

Other Sponsor

Grade 10 Leavers

Grade 12 Leavers

Skills Training Courses (Optional)

Skills courses can be taken by both Grade 10 and 12 Leavers

Special Talents or Skills You Have

Health Condition

Your Future Career Interest

Why Have You Chosen To Enroll At PIMS?

Can you talk to other relatives, friends or workmates regarding PIMS online learning?

Refund Policy

Refunds within 4 weeks of study commencement will suffer a 50% deduction penalty. No refund after 4 weeks of study commencement.

Declaration

By submitting this application, I the applicant, do solemnly declare that all information that I have provided above is true in every respect, and that I can be held liable for any false information. I pledge to abide by all the school's statutes and regulations while a student at this school.

Signature of Applicant

Date