UNP Nominee registration form For entry in August, corporations must apply to nominate a student for pre-screening by the UNP deadline. The Admissions Department will pre-screen completed applications for potential nominees after the UNP deadline. However, Qualified Children nominated after this date may be placed at the top of the application roll for their relevant grade and offered a place as and when a place becomes available. Corporation details Name and division Proposed date of entry August YEAR Select appropriate campus Dover Campus
East Campus
Authorised representative’s personal details Mr
Mrs
Miss
Ms
Other
Family name
First/Middle name(s)
Position
Tel
Mobile
Address Post code Beneficiary Nominee’s details First/Middle name(s) Family name (if different)
Date of birth (dd/mm/yyyy)
Nationality
1. 2. 3. 4. Authorised Signatory For and on behalf of (name of corporation) Mr
Mrs
Miss
Ms
Other
Name Signature
Position Date
Affix Company’s registration stamp here.
ADM-2122