Nortwest :: Student Referral Form

REFER A STUDENT TO NORTWEST COLLEGE

Student referrals are a wonderful way to give back to your College. By sending us the name of someone who has an interest in our College’s departments/programs, you help us continue to recruit bright and talented students!
We encourage you to refer your friends to Nortwest College through your agent, who referred your admission.
This information might be shared with your agent to get in touch with the student you have referred.
When the student you referred commences the course, you will be entitled for the referral incentives, which will be reconciled using this data.

Give your details to begin with :

Your First Name :

Your Last Name :

Your Contact Number :

Your Email (Registered with College) :

Your Student ID :

Your Agent Name :

Give your friend's details whom you want to refer for admission :

First Name :

Last Name :

Contact Number :

Email :

Intersted Course :

Interested Campus :

Declaration

I hereby declare that the information provided herein is true and accurate to the best of my knowledge. I authorize the college to utilize this information for communication purposes with me and relevant agents for marketing and admisison purposes.

Student Signature :

Date :

Pen Eraser