1. Home /
  2. form test

feedback form

 

We appreciate any feedback we can get.

Field is required!
Rate Our Performance:
1 means Poor and 10 means Excellent
  • - select a rating -
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
You must give us a rating. And Please be honest.
Field is required!
Reason for Rating:
You can tell us why you gave us the rating.
Field is required!
Suggestions for Improvement
Thoughtful suggestions will be taken into consideration to enable us to perform better.
Field is required!
Submit Feedback

 

registrations

 

PAPUA NEW GUINEA CIVIL AND IDENTITY REGISTRY

You Are Who You Are

Yu Em Yu Tasol

Oi Be Oi Sibona

Personal Details

Title:
  • - select your title -
  • Mr.
  • Mrs.
  • Ms.
  • Miss.
You must select title.
First Name:
You must enter your first name.
Middle Name:
Field is required!
Last Name:
You must enter your surname.
Address:
Field is required!
Date of Birth:
Please select DOB
Gender:
You must select your gender.

Student Contact Details

Postal Address:
Field is required!
Email Address:
You must enter a valid email address
Phone Number:
Field is required!

NID Registration Details

Have you Registered?
  • - select yes or no -
  • Yes
  • No
You need to select 'YES' or 'NO'
NID or Birth Certificate Number:
You must enter your Registration Record Number.
Is your NID registration still Pending?
Field is required!
Select Pending Item
This will help us fast-track your registration.
  • - select an option -
  • Birth Certificate Only
  • NID Card Only
  • Both Birth Certificate & NID Card
You must select one option
Province of Registration:
  • - select province of registration -
  • Central
  • Chimbu (Simbu)
  • Eastern Highlands
  • East New Britain
  • East Sepik
  • Enga
  • Gulf
  • Madang
  • Manus
  • Milne Bay
  • Morobe
  • New Ireland
  • Northern (Oro Province)
  • Bougainville (North Solomons)
  • Southern Highlands
  • Western
  • Western Highlands
  • West New Britain
  • West Sepik (Sandaun)
  • National Captial District
  • Hela
  • Jiwaka
You must select a province of registration.
Place of Registration:
Please enter place of registration
Register Now

Student Identification Details

Please select Student Category:
  • - select student category -
  • Continuing Student
  • Grade 12 Leaver
You must select the category you fall in.
Tertiary Institution:
  • - select tertiary institution -
  • UNIVERSITY
  • BUSINESS COLLEGE
  • TEACHERS COLLEGE
  • NURSING COLLEGE
  • TECHNICAL COLLEGE
  • OTHER COLLEGES
  • INTERNATIONAL INSTITUTION
Field is required!
  • - select a option -
  • Divine Word University
  • Pacific Adventist University
  • Papua New Guinea University of Technology
  • PNG University of Natural Resources and Environment
  • University of Goroka
  • University of Papua New Guinea
  • Western Pacific University
Field is required!
  • - select a option -
  • Port Moresby Business College
  • Kokopo Business College
Field is required!
  • - select a option -
  • Balob Teachers College
  • Dauli Teachers College
  • Enga Teachers College
  • Gaulim Teachers College
  • Holy Trinity Teachers College
  • Madang Teachers College
  • Melanesian Nazarene Teachers College
  • PNG Education Institute
  • Rabaul Campus of DWU (Kabaleo)
  • Sacred Heart Teachers College
  • St Benedict’s Campus of DWU (Kaindi)
  • St. Peter’s Channel Catholic College of Secondary Teacher Education
Field is required!
  • - select a option -
  • Arawa School of Nursing
  • Boram Nursing College
  • Enga School of Nursing
  • Highlands Regional School of Nursing
  • Lae School of Nursing
  • Lutheran School of Nursing
  • Mendi School of Nursing
  • Nazarene School of Nursing
  • St. Barnabas School of Nursing
  • St. Mary’s School of Nursing, Campus of DWU
  • West New Britain School of Nursing
Field is required!
  • - select a option -
  • Bougainville Technical College
  • Don Bosco Technological Institute – DBTI
  • Goroka Technical College
  • Mt. Hagen Technical College
  • National Polytechnic Institute of Papua New Guinea
  • Port Moresby Technical College
  • West New Britain Technical College
Field is required!
  • - select a option -
  • Christian Leaders Training College
  • International Training Institute – Port Moresby Campus
  • Legal Training Institute
  • Sonoma Adventist College
Field is required!
  • - select a option -
  • Southern Cross University - Campus
Field is required!
Tertiary Institution Acceptance Letter:
Upload your Tertiary Acceptance Letter...
You have to Upload your Tertiary Acceptance Letter
Student Identification Number:
You must submit your Student ID number.
Student SLF Number:
You must submit your student SLF number.
Secondary School or National High:
You must enter name of your secondary or National High school.
Year of Study:
  • - select year of study -
  • First Year
  • Second Year
  • Third Year
  • Fourth Year
  • Fifth Year
You must select year of study
Course Studied:
Please enter course you studied
Date of Graduation:
You must select Date of Graduation
Course to be Studied:
Please enter course you were accepted to study
Terms of Submission:
You have to agree with our terms and conditions.

Terms of Submission

Once submitted, ALL DATA, including your personal details become the sole property of the Independent State of Papua New Guinea. The Government reserves All Right to use the information in any way it deems necessary.
SUBMIT