Xplorakodo

Full Name *

Student's Mobile No *

Education Level *

Email Address *

Permanent Address

Age

Sex *

Male Female Other Prefer not to say

Guardian's Name

Relation to student

Guardian's Contact Mobile No

Social Media Use (Profile link)

Are you willing to link your profile for behavioral monitoring?

Yes No

Can you commit to 12 months of intensive training and learning? *

Yes, I am fully committed. No, I am looking for a short-term course.

Do you have a smartphone or laptop to access the platform at home? *

Yes No

Would you like to apply for our salary-backed Earn & Pay Later facility?

Yes No

Student Signature (Digital - Type Full Name) *

Date *

Verify *

Student Registration Form