Student Admission Form

Personal Information:
Full Name: _____________________________
Gender: ________________________________
Date of Birth: ___________________________
Age: _________________________________
Nationality: ____________________________
Residential Address: ______________________

Phone Number: __________________________

Email: ________________________________

Education Background:
Highest Level of Education Completed: ______________________________
Name of Last School Attended: ____________________________________
Year of Completion: _______________________
Grade/Score: ____________________________

Occupation Selection:
Select the occupation you would like to enroll in:
□ Automotive Technology
□ Carpentry and Joinery
□ Computer Technology
□ Culinary Arts
□ Electrical Installation

_____________________________________________________________________________________
Ref: Our MoA, III (a) “to carry on business of vocational skills development, trainings, and technical
works in schools, hospitals, etc and establishment of vocational centers with technical equpuipments
□ Fashion Design and Tailoring
□ Hairdressing and Beauty Therapy
□ Plumbing and Pipefitting
□ Welding and Fabrication

Additional Information:
Do you have any prior work experience in the program you are applying for? Yes / No
If yes, please provide details: _________________________________

Do you have any physical limitations that may affect your participation in the program? Yes / No
If yes, please provide details: _________________________________

Declaration:
I hereby declare that the information provided above is true and accurate to the best of my
knowledge. I understand that any misrepresentation or omission of facts may result in my
admission being cancelled. I also agree to abide by the rules and regulations of THEHASA
Vocational Skills Development Center.

Applicant’s Signature: _____________________________

Date: _____________________________

Admitted by: ________________________________

Sign and Stamp: __________________________________

_____________________________________________________________________________________
Ref: Our MoA, III (a) “to carry on business of vocational skills development, trainings, and technical
works in schools, hospitals, etc and establishment of vocational centers with technical equpuipments