Online Application

Port Moresby Institute of Matriculation Studies

P I M S

APPLICATION FOR ONLINE STUDIES

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

Date

Mode of Enrollment

Fulltime Classes

Online Correspondence

Study Program Applied for

Matriculation (Gr 10 Leavers)

Matriculation and Skills Training (Gr10 Leavers)

Gr 12 Upgrading (G12 Leavers)

Gr 12 Upgrading and Skills Training (G12 Leavers)

Photo (Take a selfie)

Choose File

Personal Details

First Name

Last Name

Gender

Date of Birth

Whatsapp No

Renter same Whatsapp No

Are you working?

Yes

Postal Address

Address Line 1

Address Line 2

City/Town

Province

Residential Address

Educational Details

Last School Attended

Province

Year

Copy of your Gr 10 or 12 Certificates

Upload copies now if possible otherwise send it later.

Copy of Gr 10 Certificate

Choose File

Copy of Gr 12 Certificate

Choose File

Copy of other Certificate

Choose File

Sponsor Details

Name of Sponsor/Guardian

Digicel No (Sponsor)

BMobile No (Sponsor)

Voda No (Sponsor)

Where is your sponsor working?

Government Public Servant

Mining Company

Other Private Company

Not working

Employment Address of Sponsor

SCHOOL FEE LOANS AVAILABLE IF INTERESTED

School loans are avaiable for Government Public Servants, Mining workers and their dependants, Call Jenny on 75902457

Grade 10 Leavers

Grade 12 Leavers

Skills Training Courses (Optional)

Can be taken by both Grade 10 and 12 Leavers

Skills Subjects Applied For (Pls tick No Subjects Selected box if no subject Applied for here)

Basic Computing

Software Applications

Basic ICT

Business Studies

Basic Accounting

No Skills Subjects Selected

Re-confirmation of ALL Subjects Applied For

For whatsapp notification purposes, please reselect and confirm the same subjects you have applied for above. If exceeded please click the No Subjected Selected option (last on each list)

Future Career Interest

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