INFONET COLLEGE

TEL 1575777/79,1560432/33 P.O.BOX 935 E_Mail Infonet@ethionet.et Addis Ababa Ethiopia

WWW.INFONETCOLLEGE.EDU.ET

OFFICE OF THE REGISTRAR
STUDENTS' ADMISSION APPLICATION FORM

PROGRAM:CERTIFICATE(10+1 and 10+2)   DIPLOMA(10+3)  DEGREE   Adv. DIPLOMA
  1. Personal information
    1. Full Name:
      First Name   Middle Name   Last Name

    2. Gender: Male   Female

    3. Birth Date:	Date	Month		Year	  Age
    4. Birth Place:	Country		Region		Town
    5. Nationality:

    6. Marital Status: Single   Married

    7. Are you Handicapped? Yes  No.If your answer is Yes,please specify
      Blind   Deaf  Walking problem   Others:
    8. Person to be contacted in case of emergency: 
      Name Country Region Town
  2. Education
    1. Secondary School Completed
      Name of Scool		Region		   Town		Year Completed 
    2. ACADAMIC STREAMS ATTENDED
      Natural Sc.   Social Sc.  Technical   Agriculture: Home Eco.

    3. have you ever been enrolled in apost secondery insititute in ethiopia or abroad
                        

      yes            No   ok, if your anwser is yes fill the next

      Institiution name   Major feild of study    Dates attended   Credits earned

      Program attended:Degree   diploma      Certificate   others

    4. Document submitted to the Office of the registrar

      high scool transcript   ESLCE Result      Diploma/Certificate     other out of these

Acadamic program to be pursued
Show your choices by writing numbers(1,2,3...)in order of priorty of preferance
Computerized Accounting Business Administration Computer communication & Networks Marketing Managment
computreized secreterial science & office Mgt/DPT Computer Hardware Multimedia production &Graphics Design Software development & programming
Your picture