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