STUDENT REGISTRATION
NOVEMBER 2023

ADVANCED AICAT PROGRAM APPLICATION

Thank you for applying to be part of the Advance AICAT program. Please fill in the following details in full.

Please note that all the information given is exactly the same as written in your passport (I.E that you write all names that is written in your passport, in the correct order, etc)

Please note that the ADVANCE AICAT PROGRAM is for students who were at AICAT since 2019 only.

Which year where you a student at AICAT *

Application Form

Gender *

MaleFemale

First Names *Please check the spellings is the same as written in passport

Last Name *Please check the spelling is the same as written in passport

Address *

City or Town

Postal code or PO box number

Country

Email Address *

Phone *Home Phone Number

Passport Details

Passport Number *

Date of Birth *

Passport Valid from *

Passport Valid Until *

Needs to be valid until at least July 2025

Marital Status *

Religion *

Nationality *

Fathers Name *

Mothers Name *

Scan of Passport *

Please upload a good colour scan of your passport. The passport must be valid until at least 7/2025

University Details

Name of University *

Subject and Level

Farmer details

Who was your group leader

Who was your farmer

Where did you live?

What kind of work did you do?

I confirm below that ... *

I am between the age of 20 to 28I have no criminal recordI have a background in agricultureI am physically and mentally fitI have a good command of the English language

STUDENT REGISTRATIONNOVEMBER 2023