APEL Application Form  
Full Name (as in IC / Passport) *
Address *
Postcode *
City *
State *
Country *
IC / Passport No. *
Date of birth *
Gender *
Contact Number - Home
Contact Number - Office
Contact Number - Fax
Contact Number - Mobile *
Email *
Highest qualification *
Level of intended study *
Do you intend to pursue your tertiary study in Wawasan Open University (WOU)?
Field of intended study *
Your preferred WOU Regional Centre to undertake the Aptitude Test *