Apply for Registration

Application for Learner Registration

  • Date Format: MM slash DD slash YYYY
  • CONTACT DETAILS

  • PROPOSED PROGRAMME OF STUDY AND CENTRE INFORMATION

  • Online Studies with EBMA -

    If you chose to study online with EBMA, then we will enrol you in the following institution.
  • EDUCATION HISTORY

    Please provide us with your education history -
  • LANGUAGE

  • LEARNING DIFFICULTIES AND DISABILITIES

  • CRIMINAL CONVICTIONS

  • PAYMENT DETAILS

    We will send you Invoice when you will submit this online application to us.
  • You agree here that EBMA will process your application when you will pay registration fee according to our nvoice.
  • DECLARATION

    You must confirm that the information provided in this application is true and accurate to the best of your knowledge.
  • I confirm that the information in this application (and supporting it) is true and correct to the best of my knowledge and belief. I agree that – 1) If any time I become aware that any information in this application (or supporting it) is incorrect or if it changes in any way, I will notify EBMA immediately 2) If any information in this application (or supporting it) is incorrect, the application may be invalid and EBMA shall not be bound by any decision it has reached based on such information 3) I will comply with rules and regulations including the policies, procedures and instruction issued by EBMA 4) I will pay the required registration fee upon receipt of invoice and provide all necessary information as requested by EBMA to process this application. 5) EBMA shall be entitled to take any Action about my registration where I violate any rules, do any malpractice or cause any incident which create Adverse effect on EBMA, and I understand EBMA’s processing my information contained in this form and sensitive data and other personal data which EBMA may obtain from me or from other persons connected to my studies. I agree to the processing, retention and disclosure of such data for my academic and EBMA’s administrative purposes in accordance with the Data Protection Act 1998