Please fill-in this form in order to verify your account.
Once verified, you will receive your credentials on the supplied email address.
Note: this may take up to One working day.
 
     
Personal Info 
 
Student Id#  
First Name *
Middle Name *
Last Name *
Date of Birth  *  
Mother First Name  *
Mother's Maiden Name  *
 
 
Personal Phone 
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Email  *
Academic Info 
 
First Semester at NDU  
Graduation Semester *
Graduation Major *
Note / Comments