CSBM Campus

1. General Information

2. Contact Information

3. Parent's / Guardian's Contact Details (for applicants under 18 years of age)

4. Working Experience (if Applicable)

Company	Address	Designation	Period From	Period To	Remove
					X

5. Educational Qualifications

5.1 G.C.E. (O/L)

Year	Index No.	School	Subject	Grade	Medium	Remove
						X

5.2 G.C.E. (A/L)

Year	Index No.	School	Subject	Grade	Medium	Z-Score	Remove
							X

5.3 Higher Education

Institution	Program	From	To	Remove
				X

Payment Plan

Choose an available payment plan for this programme, or request a special plan.

#	Plan Name	Programme	First Payment	Months	Installment Summary	Total Fee (Full Payment)	Day of Month	Select
1	OPTION 3 (18-MONTH INSTALLMENT PLAN )	BSc in Cosmetology	80,000.00	15	15 custom installment(s)	700,000.00	5	Select
2	Option 01(FULL PAYMENT)	BSc in IT	20,000.00	1	1 custom installment(s)	50,000.00	5	Select
3	OPTION 2 ( SEMESTER INSTALLMENT PLAN )	BSc in IT	20,000.00	2	2 custom installment(s)	50,000.00	5	Select
4	Option 03 - (Diploma in Food Science )	Diploma in Food Science and Drugs	0.00	6	6 custom installment(s)	85,000.00	25	Select
5	Option 02 - (Diploma in Food Science)	Diploma in Food Science and Drugs	0.00	2	2 custom installment(s)	85,000.00	25	Select
6	Option 01 - (Diploma in Food Science)	Diploma in Food Science and Drugs	0.00	1	1 custom installment(s)	85,000.00	25	Select
7	Option 01 - (Diploma in Environmental Science)		0.00	1	1 custom installment(s)	85,000.00	5	Select
8	Option 02 - Diploma in Environmental Science		0.00	2	2 custom installment(s)	85,000.00	25	Select
9	Option 03 - (Diploma in Environmental Science)		0.00	6	6 custom installment(s)	85,000.00	25	Select
10	Option 01 - (Diploma in Pharmacy)		0.00	1	1 custom installment(s)	85,000.00	25	Select
11	Option 02 - (Diploma in Pharmacy)		0.00	2	2 custom installment(s)	85,000.00	25	Select
12	Option 03 - (Diploma in Pharmacy)		0.00	6	6 custom installment(s)	85,000.00	25	Select
13	Option 01 - (Diploma in Sports and Exercise Science)	Diploma in Sports and Exercise Science	0.00	1	1 custom installment(s)	85,000.00	25	Select
14	Option 02 - (Diploma in Sport and Exercise Science)	Diploma in Sports and Exercise Science	0.00	2	2 custom installment(s)	85,000.00	25	Select
15	Option 03 - (Diploma in Sports and Exercise Science)	Diploma in Sports and Exercise Science	0.00	6	6 custom installment(s)	85,000.00	25	Select
16	Option 02 - (BSc in Cosmetology)	BSc in Cosmetology	80,000.00	4	4 custom installment(s)	700,000.00	25	Select
17	Option 01 - (BSc in Cosmetology)	BSc in Cosmetology	80,000.00	1	1 custom installment(s)	700,000.00	25	Select
18	Option 01 - (Higher Diploma in Sports and Exercise Science)	Higher Diploma in Sports and Exercise Science	0.00	1	1 custom installment(s)	85,000.00	25	Select
19	Option 02 - (Higher Diploma in Sports and Exercise Science)	Higher Diploma in Sports and Exercise Science	0.00	2	2 custom installment(s)	85,000.00	25	Select
20	Option 03 - (Higher Diploma in Sport and Exercise Science)	Higher Diploma in Sports and Exercise Science	0.00	6	6 custom installment(s)	85,000.00	25	Select
21	Option 01 - (OTHM Level 07 Diploma in Logistic and Supply Chain Management)	OTHM Level 07 Diploma in Logistics and Supply Chain Management	0.00	1	1 custom installment(s)	150,000.00	25	Select
22	Option 02 - (OTHM Level 07 Diploma in Logistic and Supply Chain Management)	OTHM Level 07 Diploma in Logistics and Supply Chain Management	0.00	2	2 custom installment(s)	150,000.00	25	Select
23	Option 03 - (OTHM Level 07 Diploma in Logistic and Supply Chain Management)	OTHM Level 07 Diploma in Logistics and Supply Chain Management	0.00	6	6 custom installment(s)	150,000.00	25	Select
24	Option 01 - (OTHM Level 07 Post-Graduate Diploma in Sport and Exercise Science	OTHM Level 07 International Post-Graduate Diploma in Sports and Exercise Science	0.00	1	1 custom installment(s)	150,000.00	25	Select
25	Option 02 - (OTHM Level 07 Post-Graduate Diploma in Sport and Exercise Science	OTHM Level 07 International Post-Graduate Diploma in Sports and Exercise Science	0.00	2	2 custom installment(s)	150,000.00	25	Select
26	Option 03 - (OTHM Level 07 Post-Graduate Diploma in Sport and Exercise Science	OTHM Level 07 International Post-Graduate Diploma in Sports and Exercise Science	0.00	6	6 custom installment(s)	150,000.00	25	Select
27	Option 01 - (Professional Bachelors in Sport and Exercise Science - 12 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	1	1 custom installment(s)	215,000.00	25	Select
28	Option 01 - (Professional Bachelors in Sport and Exercise Science - 12 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	1	1 custom installment(s)	215,000.00	25	Select
29	Option 02 - (Professional Bachelors in Sport and Exercise Science - 12 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	3	3 custom installment(s)	215,000.00	22	Select
30	Option 02 - (Professional Bachelors in Sport and Exercise Science - 12 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	3	3 custom installment(s)	215,000.00	22	Select
31	Option 03 - (Professional Bachelors in Sport and Exercise Science - 12 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	11	11 custom installment(s)	215,000.00	25	Select
32	Option 03 - (Professional Bachelors in Sport and Exercise Science - 12 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	11	11 custom installment(s)	215,000.00	25	Select
33	Option 03 - (Professional Bachelors in Sport and Exercise Science - 18 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	16	16 custom installment(s)	215,000.00	25	Select
34	Option 03 - (Professional Bachelors in Sport and Exercise Science - 18 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	16	16 custom installment(s)	215,000.00	25	Select
35	Option 02 - (Professional Bachelors in Sport and Exercise Science - 18 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	5	5 custom installment(s)	215,000.00	25	Select
36	Option 02 - (Professional Bachelors in Sport and Exercise Science - 18 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	5	5 custom installment(s)	215,000.00	25	Select
37	Option 01 - (Professional Bachelors in Sport and Exercise Science - 18 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	1	1 custom installment(s)	215,000.00	25	Select
38	Option 01 - (Professional Bachelors in Sport and Exercise Science - 18 Months)	Professional Bachelors in Sports and Exercise Science	60,000.00	1	1 custom installment(s)	215,000.00	25	Select
39	Option 03 - (BSc in Food Science and Drugs - 12 months)	BSc in Food Science and Drugs	60,000.00	11	11 custom installment(s)	215,000.00	25	Select
40	Option 02 - (BSc in Food Science and Drugs - 12 months)	BSc in Food Science and Drugs	60,000.00	3	3 custom installment(s)	215,000.00	25	Select
41	Option 01 - (BSc in Food Science and Drugs - 12 months)	BSc in Food Science and Drugs	60,000.00	1	1 custom installment(s)	215,000.00	25	Select
42	Option 01 - (Executive MSc in Sports and Exercise Science - 18 Months)	Executive MSc in Sports and Exercise Science	60,000.00	1	1 custom installment(s)	115,000.00	25	Select
43	Option 01 - (Executive MSc in Sports and Exercise Science - 18 Months)	Executive MSc in Sports and Exercise Science	60,000.00	1	1 custom installment(s)	115,000.00	25	Select
44	Option 02 - (Executive MSc in Sports and Exercise Science - 18 Months)	Executive MSc in Sports and Exercise Science	60,000.00	3	3 custom installment(s)	115,000.00	25	Select
45	Option 02 - (Executive MSc in Sports and Exercise Science - 18 Months)	Executive MSc in Sports and Exercise Science	60,000.00	3	3 custom installment(s)	115,000.00	25	Select
46	Option 03 - (Executive MSc in Sports and Exercise Science - 18 Months)	Executive Master’s Environmental and Sustainability Management	60,000.00	11	11 custom installment(s)	215,000.00	25	Select
47	Option 03 - (BSc in Food Science and Drugs - 12 months / Old)	BSc in Food Science and Drugs	60,000.00	11	11 custom installment(s)	215,000.00	25	Select
48	Option 02 - (BSc in Food Science and Drugs - 12 months / Old)	BSc in Food Science and Drugs	60,000.00	3	3 custom installment(s)	215,000.00	25	Select
49	Option 01 - (BSc in Food Science and Drugs - 12 months / Old)	BSc in Food Science and Drugs	60,000.00	1	1 custom installment(s)	215,000.00	25	Select

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Request Special Payment Plan (if needed)

If you need a customised plan, describe your requested schedule below. Admin/Accounts can review and approve it.

6. Other Information

How did you first learn about CSBM? You may tick more than one.

7. Application Checklist

Declaration

I declare the information I have supplied on this form is, to the best of my understanding and belief, complete and correct. I understand that giving false or incomplete information may lead to my application being refused or my enrolment cancelled.