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1 - General Information

1.3 - Student Name

First

Middle

Last

1.4 - Sex (Gender)

1.5 - Date of Birth

1.6 - Nationality

1.7 - Streetname and number

1.8 - P.O Box

1.9 - City/Town

1.10 - Phone Number

1.11 - Email

1.12 - Country

1.13 - Disability

1.14 - Marital Status

1.15 - Study Delivery Mode

2 - School certificate examination results

Grade Entry

Enter Your Grades

In this form, enter the grades that you have scored in your secondary education. These grades will determine if you are eligible to enroll in a program.

Grade Code	Grade Code	Grade Code
English Language	English Literature	Geography
Art	Agriculture Science	Commerce
Mathematics	Principles of Accounts	Phys. Science
Physics	Homecraft/Cookery	Gen. Science
Chemistry	French or Zamb. Language	History
Metal work	Religious Education	Music
Biology	Technical drawing	Computer Science
Civic Education	Other	Other 2

3 - Education background

3.1 - Type of certificate

3.2 - Name of institution

For example: Evelyn Hone

3.3 - Name of certification

For example: Grade 12, or Diploma in Business Studies

Scan of document

Click or drag a file to this area to upload.

Upload the certificate, degree or diploma.

3.4 - Type of certificate

3.5 - Name of institution (copy)

For example: Evelyn Hone

3.6 - Name of certification (copy)

For example: Grade 12, or Diploma in Business Studies

Scan of document (copy)

Click or drag a file to this area to upload.

Upload the certificate, degree or diploma.

4 - Next of kin information

In this section you can provide contact information that should be used in case of an emergency, in general this should be a family member or legal guardian. Use the add button to add as many emergency contacts as you wish.

4.1 - Full Name

4.2 - Relationship

4.3 - Phone Number

4.5 - Address

4.6 - Town

5 - Sponsors information

In this section you must provide contact information for your sponsor, if you are self sponsored please indicate this.

5.1 - Full Name

5.2 - Sponsorship

5.3 - Phone Number

5.4 - Email

5.5 - Address

5.6 - Town

6 - First, Second and third programme choices

This is the final part of your admission request, here you will need to select your first, second and third choice program choices, should you not get picked for your main program.

6.1 - First Choice:

6.2 - Second Choice:

6.3 - Third Choice:

Proof of Payment

Click or drag a file to this area to upload.

Upload the deposit receipt of K150 for application fee.

CONTACT US

Admission enquires
Tel: +260974137203,

+260 97 5950286

1 - General Information

2 - School certificate examination results

Enter Your Grades

3 - Education background

4 - Next of kin information

5 - Sponsors information

6 - First, Second and third programme choices

CONTACT US

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