Human International Academy	Online Application Form You may instead mail or fax completed application form to: Admissions Department, 123 Camino De La Reina, Suite W-200, CA 92108. Phone:(619)501-8091, Fax:(619)501-9027. Email:contact@hiausa.com. You must also include the nonrefundable registration fee of US$75 by International Money Order, Travelers Check or Wire Transfer. If you wish to wire the fee into our bank account, please contact us for information about the necessary procedures.
Supply the following information

PERSONAL INFORMATION
* Gender Male Female
* Family Name(as it appears in your passport) MI * First Name
* Date of Birth (mm/dd/yy) * Country of Citizenship * Country of Birth
CONTACT INFORMATION
* Permanent Address (in your home country)