L1 – Library Registration – Student Portal

Personal Details
Name*
Identity Card No.*
Registration ID No.*
Faculty / Centre
Programme
Academic Year
Mode of Study
Source of Funding
Contact Details
Address*
Telephone No. (Home)
Telephone No. (Mobile)*
Email*
UNISSA Email
Contact Person In Case Emergency
Name*
Relation*
Address*
Telephone No. (Home)
Telephone No. (Mobile)*
Telephone No. (Office)
Student Declaration
Date*
Date Format: DD slash MM slash YYYY
*
- I hereby verify that all information on this form is true and correct to the bes t of my knowledge.

Personal Details