Secure Online Enrolment Form | HealthCareStudies

Thank you for starting your application with Health Care Studies.

Health Care Studies is a brand owned and operated by London School of Planning and Management. The programme will be delivered by London School of Planning and Management.

This form contains four (4) sections.

Upon submission of this form, you will be directed to our secure payment page for making the payment of GBP £10 towards enrolment fees.

Please fill the form below to start your enrolment.

Part 1: Personal Details

Select program:*

First name:*

Last name:*

E-mail:*

Date of birth:* (dd/mm/yyyy)

Gender:*

Male

Female

Marital status:*

Single

Married

Prefer not to disclose

Permanent address:*

State:*

Country:*

Zipcode or Postcode (optional):

Phone number:*

Mobile number:

Part 2: Family Information

Father's name:*

Mother's name:*

Part 3: Education Details

Academic credentials are important for our Admissions Committee. We will review the school you attended, your degree and subject, as well as your final or current grades. Please list the highest level of degree/ qualification obtained by you.

Highest degree/ qualification obtained:*

Major/ specialisation (If applicable):

Name of school/ university:*

Grade point/ score/ percentage attained:*

Completion year:*

Part 4: Employment Details

Please provide us with your employment details, if you possess work experience.

Work experience in number of years:

Current/ most recent employer name:

Brief details of your current/ most recent employment:

All information provided is strictly confidential.
Students particulars are solely for the purposes of submission for the course admission.

Cards accepted: