PO BOX 4062, Robina Town Centre, 4230, Gold Coast, Australia

Ferguson Education Group - Registration Form

PLEASE NOTE THAT YOUR REGISTRATION PLACE WILL NOT BE HELD OR PROCESSED WITHOUT THE PAYMENT!

Who is your registration officer? *

First Name *

Last Name *

Date of Birth *

Address of Applicant *

Country *

City *

Province (if applicable)

Email Address *

Phone Number 1 *

Phone Number 2 *

Emergency Contact Full Name *

Emergency Contact Relationship *

Emergency Contact e-mail

Emergency Contact Number *

Which country do you want to study in? *

Please mention your course here if it was not in the list above

Have you already made the payment for the program? *

YesNo, I will make the payment online now.

Please write the FULL NAME of the person who is making the payment.

Please upload receipt of your payment

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Please sign in the box below. *

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Date *

By signing this registration form above, I agree to the Terms and Conditions provided by Ferguson Education Group. *