ONLINE APPLICATION

GENERAL INFORMATION

Type of application

NationalInternational

Application for selection and admission for the year in which you want to commence your studies:

If you have previously applied to or registered at Equine-Librium, state your student number

Language preference for correspondence

May Equine-Librium contact you via SMS?
YesNo

May Equine-Librium contact you via Email?
YesNo




APPLICANT PERSONAL INFORMATION

Title

Name & Surname

ID Number

Email Address

CONTACT IN CASE OF AN EMERGENCY (Mandatory for ALL applicants)

South African postal code / Zip code (international)

City / Suburb

Contact Name

Number

Email Address

Relation to Student

THE FOLLOWING IS REQUIRED BY CENTRAL GOVERNMENT FOR STATISTICAL PURPOSES

Home language

AfrikaansEnglishGermanFrenchIsiNdebeleIsiXhosaIsiZuluSesothoSepediSetswanaSiSwatiTshivendaXitsongaOther

If Other, please specify


Marital status

Gender
MaleFemale

Population group
WhiteIndianColouredBlackOther

Religious denomination

What is your current main activity?
Learner presently in Gr 12Learner presently in Gr 11University studentCurrently employedOther

If Other, please specify

Disability:

PREVIOUS AND CURRENT TERTIARY STUDIES (Degrees and diplomas only)

Name of Education Facility 1

Final study year

City/town

Academic level



Name of Education Facility 2

Final study year

City/town

Academic level



EXAMINATION AUTHORITY

CambridgeInternational BaccalaureatMatriculation BoardIndependent BoardOther

If Other, please specify


DETAILS - SCHOOL EDUCATION

Name of school

Final school year

City/town

Examination no

Examination location

Please write the percentage and level obtained alongside the subject

Accounting

Afrikaans 1st Additional Language

Afrikaans Home Language

Business Studies

Civil Technology

Computer Applications Technology

Consumer Studies

Design

Dramatic Arts

Economics

Engineering Graphics and Design

English 1st Additional Language

English Home Language

Geography

History

Information Technology

Life Orientation

Life Sciences

Mathematical Literacy

Mathematics

Mathematics Paper 3

Music

Physical Sciences

Religious Studies

Tourism

Visual Arts

Other Subjects




NB: The final year mark of your last completed school year is required and a copy of your report must accompany your application. Students with qualifications, other than specified on the application form, may only be admitted if they arejudged equivalent by the designated equivalence-setting bodies (Government Gazette Vol 928, No 30353, October 2007).



CAMBRIDGE
Please write the percentage and level obtained alongside the subject

Accounting

Afrikaans 1st Language

Afrikaans 2nd Language

Biology

English 1st Language

English 2nd Language

Geography

History

Physical Sciences

Other Subjects - write the subject name in CAPITAL letters on the lines and write the percentage and level in the blocks next to it.

Subject 1 % and Level

Subject 2 % and Level

Subject 3 % and Level

Subject 4 % and Level



SPORT ACCOMPLISHMENTS
Please list any sport accomplishments in the space provided, type of sport & level competed.



DECLARATION
I confirm that
a. The information contained herein is in all respects correct and true.
b. There is no legal obligation on Equine-Librium College to accept me as student and I will only be admitted as a student if I comply with all the regulations and requirements that The College may set.

Date

Title, initials and surname

Important note:
It is compulsory for ALL prospective first-year students at Equine-Librium College,
regardless of the matriculation year, studies at another higher education institution,
or examination system followed, to write the National Benchmark Tests (both the AQL
test and Mathematics (MAT). The NBT results will be used for selection purposes.




BSc Veterinary Physiotherapy
GENERAL COURSE INFO

BSc Veterinary Physiotherapy
APPLICATION FORM