PERSONAL INFORMATION (INFORMATION PERSONEL)

First Name (Nom)

Last Name (Prenom)

Gender (Sexe)

Place Of Birth (Lieu De Naissance)

Date Of Birth (Date de Naissance)

Address (Addresse)

Email

Student Telephone

Emmergency Contact (Personne En Cas d'Urgence)

Emmergency Contact Telephone

Emmergency Contact City (Ville)

SELECT COURSE (FILIERE)

Academic Year

Level (Niveau)

Session

Specialty One (1ere Filiere)

Specialty Two (2nd Filiere)

Other (Autre)

Program (Programme)

Campus