Below as per ID document:

Institution Information:

As per proof of registration
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If you are unable to get an academic record, please upload proof of final academic results

Results:

Result
Result
Result
Result
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Result

Failed Modules:

Please list the modules you have failed and when you will need to write a supplementary or repeat the module. Please see the drop-down options.
Name of module needing to be repeated or supplemented
Name of module needing to be repeated or supplemeted
Name of module needing to be repeated or supplemented
Name of module needing to be repeated or supplemented
Name of module needing to be repeated or supplemented