UIECC/ESIGN/SVE/BPA

PRE-REGISTRATION FORM FOR THE INTERNATIONAL SCHOOL OF DIGITAL ENGINEERING (ESIGN)

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Academic Year

Payment Receipt (PDF or Image file, Optional for Congolese students)

Accepted formats: PDF, JPG, PNG (max 10MB)

Student's Full Name

Date of Birth

Place of Birth

Gender

Nationality

Disability

Baccalaureate (series) / GCE Advanced Level (option)

Faculty

Official Language

French

English

Father or Guardian’s Name

Father/Guardian’s Phone

Mother or Guardian’s Name

Mother/Guardian’s Phone

Address (neighborhood and residence area)

Phone

Sports

Music

Dance

Comedy

Singing

Other