SMU Online Registration System

Student Registration Form

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Instructions

1. This application form should be completed by the applicant.
2. Use BLOCK (CAPITAL) letters to complete the form.
3. Attach photocopies of all necessary educational documents with the application form.
4. Choose the appropriate or write in the space provided to complete the form
5. If you are registered for a degree program your official transcript should be directly sent to us from your previous university or college within two months period using the following postal address: ST. MARY’S UNIVESTIY, COLLEGE OF OPEN AND DISTANCE LEARNING P.O. BOX 1211, ADDIS ABABA

Year Of Admission

Program

Admission Classification

Preferred Field of Study

personal information

First Name

Middle Name

Last Name

Gender

Nationality Choose photo

Date and Place of Birth

Date of Birth

Country

Region

Sub City/Zone/Special Wereda

Area Type

Native Language

Marital Status

I am

Residence Address

Area Type

Region

woreda

Kebele

Zone

House Number

Contact Address

Mobile/Cell Phone

Office Telephone

Home Telephone

P.O.Box [Regular Mail]

Person to be contacted in case of Emergency

Full Name Kebele Office Telephone

Region House Number Home Telephone

Sub City/Zone/Special Wereda Mobile Phone P.O.Box [Regular Mail]

Educational History

Name of the Bachelor Degree Title

Date of Bachelor Graduation

Name of University / Collage awarding the Bachelor

Country/City of the Uiniversity/ Collage awarding the Bachelor

CGPA

School Attended

Is Elementary School

Region

Name of Place

Is High School

Region

Name of Place

Is Preparatory School

Region

Name of Place

Student Certificate

My Certificate

Choose certificate

Physical Challenges

Are you physically challenged [disabled]?

If YES, Please indicate your condition

Employment Information

Are you currently employed? If yes, state employer: Any other previous work experience Position Do you have any engagements other than your study?

If yes, state type of work Does the work you do relate to the field you intend to study at St. Mary's University? Number of Service Years

If yes, state position Income per month (In Birr) [Optional] Financial Source [Who Pays Your School Fee]

Educational background of the Family

Income background of the Family

Institution choice and study environment

Why did you choose to enroll at SMU? What is the programme have you chosen to study? What is your expectation of the level of difficulty of the program ? Department you have choose to study?

Through whom did you learn St.Mary’s? Who choose the field for you ?

What is the most convenient time for you to follow your studies ? What has influenced your field choice ?

Do you have the following at Home?

Personal Computer?

Internet Connection?

Study Place?

Computer in office?

Agreement

I hereby certify that all information given in this form is complete and correct. I fully realize that the University is entitled to take any action including dismissal if the information I gave is found to be incorrect or misleading. I shall ask no reimbursement of whatever fee I paid in case the university takes any action as a result of any incorrect or misleading information I gave. Provided I get admission as per this application, I am aware of the fact that the university reserves the legal right to raise the tuition fee at any time before I complete the program for which I am applying herein.

I further undertake to observe all the rules & regulations of the University communicated in the form of notices to Students. Applicant's Name:
Date of Application[DD-MM-YYYY]