CINEC Campus | CDMP Registration Form

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First Name *

Last Name *

Date of Birth (DD/MM/YYYY) *

Passport Number *

Email Address *

Mailing Address *

Current Educational Qualifications *

Credential Evaluation Reports *

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Course Name (Register and pay each course separately) *

PHYS-101 |GENERAL PHYSICS WITH LABORATORY COMPONENT - Course Fee $220CHEM-103 | GENERAL CHEMISTRY WITH LABORATORY COMPONENT - Course Fee $220GEN-105 | INTRODUCTION TO GENETICS - Course Fee $220

Please upload the Secondary Education Certificate *

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Please upload the Bachelor’s Degree Certificate or transcripts of current enrollment in degree course *

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Please upload the Credential evaluation copy if present

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CDMP Registration Form

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Certificate Number

Ex : SD-xxxx/xx-xxxx/xxxx