Online Application

Fill out and submit the following application:

Course Name:

Personal Data

Title:
Last Name:
Middle Initial:
First Name:
Date of Birth:
City of Birth:
Country of Birth:
Address 1:
Address 2:
Town:
State/Province:
Country:
Post Code:
PO Box:
Email address:

Employment Information

Employer Name:
Department/Division:
Position or Job Title:

Education

List all Colleges and Universities you have attended, starting with the most recent.


Education History:

I certify that to the best of my knowledge the information provided in this application is accurate and complete. I understand that if this information or any other information upon which my admission is based is found to be inaccurate or incomplete, the Drh-e-college may rescind my degree. If admitted, I agree to abide by the rules and regulations of the Drh-e-college including, but not limited to, those contained in the current Drh-e-college web site.
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Drh-e-college does not discriminate on the basis of race, colour, national or ethnic origin, religion, age, sex, disability or prior military service in the administration of its educational policies, admissions, educational programs, or activities.
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