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[] 1 Step 1 APPLICANT INFORMATION Your Full Nameyour full nameaccessibility Mobile No.your full name Genderpick one!MaleFemale Passport / ID Numberyour full name Country of Originpick one!AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHeard Island And Mcdonald IslandsHoly See (vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts And NevisSaint LuciaSaint Pierre And MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia And The South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard And Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province Of ChinaTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.s.Wallis And FutunaWestern SaharaYemenZambiaZimbabwe County of Residencepick one!BometBungomaBusiaElgeyo-MarakwetEmbuGarissaHoma BayIsioloKajiadoKakamegaKerichoKiambuKilifiKirinyagaKisiiKisumuKituiKwaleLaikipiaLamuMachakosMakueniManderaMarsabitMeruMigoriMombasa Murang'aNairobiNakuruNandiNarokNyamiraNyandaruaNyeriRift ValleySamburuSiayaTaita TavetaTana RiverTharaka NithiTrans NzoiaTurkanaUasin GishuVihigaWajirWest Pokot Date of Birthof appointmentdate_range Your Emaila valid emailemail APPLICANT PASSPORT PHOTOuploadcloud_uploadUpload GUARDIAN/ EMERGENCY CONTACT NameSponsor's full nameaccessibility Telephoneyour full name SPONSOR / WHO IS PAYING THE FEES? NameSponsor's full nameaccessibility Telephoneyour full name Emaila valid emailemail BRIEFLY STATE WHY IT IS THAT YOU WANT TO STUDY THE COURSE. your full name your full name PROGRAM INFORMATION ( See January 2020 Prospectus) I'M APPLYING FOR: SCHOOL OF MUSIC PRODUCTION MUSIC PRODUCTION AWARDpick one!CertificateAdvanced CertificateDiplomaNo Award pick one!Plus Piano SCHOOL OF MUSIC PERFORMANCE PIANOpick one!Level 1 [Basic] CertificateLevel 2 [Intermediate] CertificateLevel 3 [Advanced] CertificateDiplomaNo Award GUITARpick one!Level 1 [Basic] CertificateLevel 2 [Intermediate] CertificateLevel 3 [Advanced] CertificateDiplomaNo Award VOICEpick one!Level 1 [Basic] CertificateLevel 2 [Intermediate] CertificateLevel 3 [Advanced] CertificateDiplomaNo Award MUSIC THEORYpick one!Level 1 [Basic] CertificateLevel 2 [Intermediate] CertificateLevel 3 [Advanced] CertificateDiplomaNo Award SCHOOL OF DJ STUDIES, MUSIC BUSINESS & PHOTOGRAPHY DJ STUDIESpick one!CertificateDiploma MasterDJ DIiploma and Advanced Music Production CertificateNo Award MUSIC BUSINESSpick one!CertificateNo Award PHOTOGRAPHY & MUSIC VIDEOGRAPHYpick one!CertificateNo Award How long do you intend to study at Melody House?pick one!5 days2 weeks1 month2 months3 months5 months6 months8 months9 months24 months When would you like to commence studies?of appointmentdate_range I confirm that the information I have provided in this Application is true and correctpick one!YesNo Submit Form YOU WILL GET A RESPONSE VIA EMAIL Application Statuspick one!AcceptedAccepted on conditionDeclined Program accepted intopick one!Music ProductionDJPianoGuitarVoicePhotography and Music VideographyMusic Business Course to commence on:of appointmentdate_range Duration of studypick one!5 Days2 weeks1 month2 months3 months5 months6 months8 months9 months24 months Acceptedyour full name Accepted on conditionyour full name Program(s) acceptedyour full name Fee payableyour full name Duration of courseyour full name Course commences onyour full name keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder