cpd application form | Lusaka Apex Medical University

Personal Details:

Student Name

First

Middle

Last

Title

e.g (Mr, Miss, Mrs, Ms, Dr, Prof)

Sex (Gender)

male or female

Date of Birth

eg 02/10/1996

Identity Number

(NRC/Passport)

Permanent/home address

Telephone

(Mobile)

Email

Nationality

Marital Status

Programme Preference

CPD Course

Select the CPD Course you wish to Apply for

Starting date

Mode of Study

Kindly attach copies of your certificate(s), transcript(s), and/or official award letter(s) to your application

Click or drag a file to this area to upload.

Please attach copies of your degree certificate(s), transcript(s), and/or official award letter(s) to your application as one document

Please indicate how you intend to finance the costs (tuition fees and living expenses) of your proposed course of study.

If you are offered a place at the University, you will be asked to provide satisfactory written evidence, 5 for example in the form of a letter from your bank or a letter from a sponsoring organization; if such evidence is already available, please attach it to your application.

Upload Proof of Payment(Bank deposit Receipt)

Click or drag a file to this area to upload.

Zambian Students: Account Name: Lusaka Apex Medical University. Account Number: 1095776500148. Name of Bank: ZANACO. Name of Branch: Manda Hill. Branch Code: 010-078. Swift code: ZNCOZMLU. Currency: Zambian Kwacha (ZMW). International Students : Lusaka Apex Medical University. 1095776500249. ZANACO. Manda Hill. 010-078. ZNCOZMLUXXX. United States Dollars (USD).

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