Admission Form
1. Surname:
2. Other Names:
3. NRC/Passport Number:
4. Nationality:
5. GCE Exam Number:
6. Gender:
-- Select Gender --
Male
Female
Other
7. Marital Status:
-- Select --
Single
Married
8. Postal Address:
9. Date of Birth:
10. Phone Number:
11. Email:
12. Mode of Study:
-- Select --
Full Time
Distance
13. High School Attended:
14. Year of Completion:
15.First Choice Programmes
-- Choose Program --
Diploma in Secondary Education
Diploma in Primary Education
Diploma in Early Childhood Education
Diploma in Arts with Education
Diploma in Information and Communication Technology
Diploma in Occupational Healtth and Safety
Diploma in Business Admistration
Diploma in Public Administration
Diploma in Psychosocial Counselling
Diploma in Proffesional Authorship
Bachelor Of Secondary Education
Bachelor Of Primary Education
Bachelor Of Early Childhood Education
Bachelor Of Arts with Education
Bachelor Of Information and Communication Technology
Bachelor Of Occupational Healtth and Safety
Bachelor Of Business Admistration
Bachelor Of Public Administration
Bachelor Of Psychosocial Counselling
Bachelor Of Proffesional Authorship
16.Second Choice Programmes
-- Choose Program --
Diploma in Secondary Education
Diploma in Primary Education
Diploma in Early Childhood Education
Diploma in Arts with Education
Diploma in Information and Communication Technology
Diploma in Occupational Healtth and Safety
Diploma in Business Admistration
Diploma in Public Administration
Diploma in Psychosocial Counselling
Diploma in Proffesional Authorship
Bachelor Of Secondary Education
Bachelor Of Primary Education
Bachelor Of Early Childhood Education
Bachelor Of Arts with Education
Bachelor Of Information and Communication Technology
Bachelor Of Occupational Healtth and Safety
Bachelor Of Business Admistration
Bachelor Of Public Administration
Bachelor Of Psychosocial Counselling
Bachelor Of Proffesional Authorship
17. Province:
-- Select a Province --
Central Province
Copperbelt Province
Lusaka Province
Muchinga Province
Luapula Province
Southern Province
Nothern Province
Northwetern Province
Western Province
Easten Province
18. Physical/Communication Disabilities:
-- Select --
None
Vision
Mobility
Speech
Other
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Submit Application
Note:
Application Fee is K200.00 (Non-refundable).