Online Admission
Note: A valid email IS ABSOLUTELY required to continue the process, as this will be our primary means of communicating with you. If you do not have a valid Email account please create one before proceeding.
Account Information
Primary email is the essential and most important information for PHU to communicate with student. It can not be wrong or mistype by the applicant.
Primary Email *
Confirm Email *
Partner's USE ONLY
If You are registering for your students, please fill your email address below:
Primary Email *
Confirm Email *
PERSONAL DETAILS
Title (Dr, Mr., Mrs., Ms, Miss, etc): *
Dr Mr. Mrs. Ms Miss
First/Given name: *
Date of Birth: *
Country of Birth: *
Legal/Identity Card Name:*
Surname/Family Name: *
Gender:*
Nationality: *
Country of Permanent Residence:*
Addresses

PERMANENT ADDRESS
Permanent home address: *
Postal Code: *
Tel: *
Fax: *
Alternate Email: *

CORRESPONDENCE ADDRESS
Permanent Address Same As Correspondence Address
Correspondence Address:
Postal Code:
Tel:
Fax:
Alternate Email:
For Joint Certification Program Only
If You are registering for joint certificate program, please fill below information:
Partner ID:
Partner Name:
Course Title: