| You will need a password every time you wish to access or modify any of your information. Please choose something you can easily remember. Your password can be 5-12 letters long and cannot contain spaces. Enter the same password in both Password boxes to make sure you typed it correctly. |
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First Name:
Middle Name:
Last Name:
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| Select the order in which you want your name to appear on all AIT documents |
Firstname Middlename Lastname
Lastname Middlename Firstname
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Current Mailing Address
(Do not include space or '-' in your phone numbers)
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House No./
P.O Box No.
Street:
District:
Province:
Country:
Telephone:
Fax :
Valid until: Month:
Year:
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Permanent Address:
(Do not include space or '-' in your phone numbers) |
same as above
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House No./
P.O Box No.
Street:
District:
Province:
Country:
Telephone:
Fax :
Valid until: Month:
Year: |
(This will be used as your username when you login.)
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Valid Until: Month:
Year: |
| Sex |
Male
Female |
Date of Birth
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Day:
Month:
Year:
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| Place of Birth |
City/Town:
Province:
Country:
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Civil Status |
Single
Married
If married, no. of children:
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Nationality |
a.Country of Citizenship:
b. Country of Residence:
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Passport Details
(Only if applicable) |
a. Passport No.:
b. Place of Issue:
c. Date of Issue:
d. Expiry Date:
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