2025 APPLICATION FORM
Please print clearly in the following sections. ID SIZE PHOTO
1. PERSONAL DETAILS
Title: First Name Surname:
Mr/Ms/Miss/Mrs
Nationality: Province: District:
Gender: Date of Birth: Marital Status:
Male/Female
Religion: Mobile Phone: Work Phone:
Personal Address: Emergency Contact: Email Address:
Name:
Number:
2. ENROLMENT DETAILS (Choose your course of study, tick only one or
two box (in the case of double course)
Certificate Course
Certificate 4 in Accounting Occupational Health & Safety Level 1, 2, 3 & 4
Certificate 4 in Human Resource Management Tourism & Hospitality
Certificate 4 in Business Management Ports & Shipping
Certificate 4 in Banking & Finance Commercial Cookery
Certificate 4 in Information Communication Technology - Programming
Certificate 4 in Information Communication Technology - Networking
Fares & Ticketing Customs & Freight Forward Management
Government Studies Sales & Marketing
Logistics & Supply Chain Management Legal Systems & Paralegal Studies
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Diploma Course
Diploma in Accounting Diploma Occupational Health & Safety
Diploma in Human Resource Management Diploma in Fares & Ticketing
Diploma in Business Management Diploma in Government Studies
Diploma in Banking & Finance Diploma in Tourism & Hospitality
Diploma in Information Technology Diploma in Ports & Shipping
Programming Diploma in Sales & Marketing
Networking
Diploma in Logistics & Supply Chain Management
Diploma in Commercial Cookery
Diploma in Customs & Freight Forward Management
` Diploma in Legal Systems & Paralegal Studies
Certificate Course Fee: K6, 500 Compulsory Registration Fee: K2, 500
OH&S (level 1 – 4): K7, 500 Compulsory Registration Fee: K3, 000
Diploma Course Fee: K13, 000 Compulsory Registration Fee: K3, 000
15% Discount for student taking the second course.
Registration Fee is inclusive of Resource Book.
3. QUALIFICATIONS (please attach your certificates, documents)
Qualification Grade (12 or 10) Name of School last
(certificate, diploma, etc.) attended
Other Qualification
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4. EMPLOYMENT DETAILS
Are you employed? Yes No If yes please complete the following:
Organisation:
Supervisor Name:
Phone:
Email:
Postal Address:
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HOW DID YOU KNOW ABOUT MAPEX TRAINING INSTITUTE?
Newspaper Mapex Marketing Team
TV Advertisement Career Expo
Social Media Mapex Website
Radio Broadcast Other Means
5. PAYMENT DETAILS
Tick (√) in the appropriate box and fill the sponsor name.
Self : Mapex Sponsor:
Corporate/Sponsor: Sponsor Name:
Parents: Phone:
Guardian: Email:
6. CAMPUS OF STUDY
Tick the appropriate MTI Campus box.
Port Moresby Buka
Lae Kimbe
Goroka Kiunga
Kokopo Wewak
Alotau Madang
Hagen Wabag
7. REFUND POLICY
Refunds of school fees from withdrawals, installments are NOT Allowed, except for
overpayment of school fees.
8. BANK DETAILS
School fees must be paid into:
BANK: Bank of South Pacific (BSP)
ACCOUNT #: 7003240095
ACCOUNT NAME: MAPEX TRAINING INSTITUTE
BRANCH: WAIGANI Drive
BSB #: 8968 (necessary for overseas transaction and internet
banking)
No cash payments to any MTI campus/ officers.
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9. DECLARATION
I hereby declare that the above information is true and correct in every form and I hope to perform
to the best of my ability if accepted to study with Mapex Training Institute.
Surname: __________________________Given-Name: ___________________________
Signature: ___________________________ Date: ______/______/__________
For official use only: Comment:
Received by:
Name:
Signature:
Reviewed Date:
Course:
Application Status:
Date:
Approved by: Registrar’s
Signature
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