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Application Fee -K150.00 or US $ 60.

00 (non -refundable) OFFICIAL USE ONLY


For international applicants

Receipt No:

Date bought:

Received by

Date:

THE UNIVERSITY OF
ZAMBIA Data entry by:

P.O. Box 32379, Date:

Lusaka
Verified by:
TEL: 260 211 291777
Date:

APPLICATION FOR 2022 INTAKE TO FIRST DEGREE OR DIPLOMA PROGRAMMES

OFFICIAL USE ONLY *Former UNZA students, indicate previous computer No.
CANDIDATE'S APPLICATION NO. STUDENT’S COMPUTER NO.
(New Applicant) (New Applicant)

1. Personal Details
SURNAME OTHER NAMES

NRC / / PASSPORT NO. (for non Zambians)

DATE OF BIRTH D D M M Y Y Y Y

NATIONALITY SEX M F

MARITAL STATUS UNMARRIED MARRIED

MOBILE NO.

E-MAIL

2. Education
EXAM NUMBER YEAR OF COMPLETION

NAME OF HIGH SCHOOL

1
3. Address Details:
RESIDENTIAL
11. ADDRESS:

POSTAL ADDRESS (if different from above)

NEXT OF KIN/GUARDIAN/SPONSOR

CONTACT NUMBER

4. Program Choice
1st CHOICE

2nd CHOICE

3rd CHOICE

I understand that UNZA reserves the right to withdraw admission if it is found out that any of the documents used
to gain admission are not genuine.

________________________________________________ ___________________________
SIGNATURE OF APPLICANT DATE

REQUIRED

→ Certified copy of Grade 12 results (Certification must be done at Examinations Council of Zambia or UNZA only)

→ Certified Copy of NRC or valid Passport

→ UNZA issued receipt (if applying via email, kindly scan and email the deposit slip which should have name and
identification number of the applicant)
-

Information on courses available can be obtained from: https://www.unza.zm/academics/study-at-


unza/undergraduate
-
Pl

BANK DETAILS

BANK NAME STANDARD CHARTERED FIRST NATIONAL BANK (Z) (FNB) ZANACO
ACCOUNT NUMBER 0100110273800 62607694371 0306506302182
BANK SWIFT CODE SCBLZMLXXX FIRNZMLXXX ZNCOZMLUXXX
ACCOUNT NAME UNZA REGISTRAR’S DEPARTMENT

Submit to Apply

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