Academic Application For Admission To Study: Lomkiri Portion 69 of Farm 73, Zone 4 Mbabane, Hhohho

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A624 Eswatini Plaza Mbabane
Kingdom of Eswatini
E-MAIL: info@emcu.ac.sz
Lomkiri portion 69 of farm 73,
Zone 4 Mbabane, Hhohho

ACADEMIC APPLICATION FOR ADMISSION TO STUDY


Application Fee of E300 (ESWATINI/SADC CITIZEN) or E500 (INTERNATIONAL STUDENT)
must accompany the application. Please check financial section for more details

SECTION A: CHOICE OF STUDY

First choice of study

Second choice of study

Third choice of study

SECTION B: PERSONAL DETAILS

1. Title (Mr./Mrs./Miss/etc.)

2. First names in full

3. Last Name

4. Identification Number (National ID/ Passport)

5. Nationality

All names (first and other) must be filled in exactly as they appear in your ID document or passport

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EMCU APPLICATION FORM 2023/2024
6. Maiden Name (married women)

7. Country of Origin

8. Marital Status

9. Gender

10. Age

11. Date of birth (yy/mm/dd)

12. Home language

13. Religious affiliation

14. Applicant addresses & contacts


14.1 Applicant’s postal address

14.2 Physical address

14.3 Contact telephone numbers


Home

Work (if applicable)

Cell phone

Email

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EMCU APPLICATION FORM 2023/2024
SECTION C: SCHOOL-LEAVING DETAILS

DETAILS OF CURRENT & PREVIOUS EDUCATION

Result
High School/ Year of
Start year Subjects (Grade,
Institution attended Completion
Classification)

Certified copies of Academic Certificates must accompany the Application Form

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EMCU APPLICATION FORM 2023/2024
SECTION D: PERSONAL DISABILITY INFORMATION
The university must be informed of certain disabilities in order to determine whether it is able to make
special arrangements to accommodate persons with such-disabilities. Having a disability will not hinder
you from being admitted but to make SPECIAL ARRANGEMENTS to suit your disability.

PLEASE “TICK” BELOW

Y N Y N
Sight Intellectual (difficulties in learning)

Hearing Emotional (behaviour &


psychological)
Communication (talking, listening) Multiple

Physical (moving, standing, grasping) Disabled, but unspecified

If “Yes” please explain

_________________

SECTION E: PARENT/NEXT OF KIN-EMERGENCY CONTACT

1.1. Title (e.g. Mr/Mrs/Ms/Miss)

1.2. First Name (s)

1.3. Surname

1.4. Postal address

1.5. Physical address

1.6. Telephone number

1.7. Cell phone number

1.8. Email

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EMCU APPLICATION FORM 2023/2024
SECTION F: FINANCIAL INFORMATION

1. SURETY (Please read carefully)

I the signatory (hereinafter referred to as the “surety”) to this application, other than the student,
hereby bind myself as surety and co-principal debtor jointly and severally for and with the student
(the principal debtor) in solidum in favour of EMCU, for the payment of all debts and due
fulfilment of all obligations of whatever nature and however arising which the student may now
or hereafter owe to EMCU.
1.1 Title (e.g. Mr/Mrs/Ms/Miss)

1.2 First Name (s)

1.3 Surname

1.4 Postal address of party responsible for account

1.5 Physical address

1.6 Telephone number of party responsible for account

1.7 ID/Passport number of party responsible for account

1.8 Cell phone number of party responsible for account

1.9 Email

1.10 Signature

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EMCU APPLICATION FORM 2023/2024
2. FINANCIAL ARRANGEMENTS

A CERTIFIED COPY of the deposit slip must accompany your application form and
application will not be processed without the application fee. This deposit can
only be made at any branch of NEDBANK OR STANDARD BANK

An application fee of E300 for Eswatini/SADC Citizens and E500 for International Students
is required. PLEASE NOTE: Application fee is non-refundable

BANKING DETAILS

Bank Name - Nedbank


Account Name – Swaziland Christian University (SCU)
Bank account number - 20000539059
Branch Name – Corporate
Branch Code – 360164
SWIFT Code – NESWSZMX
Type of Account – Current

Bank – Standard Bank Swaziland


Account Type – Current
Account Name – Swaziland Christian University
Account Number -- 9110006002482
Branch Name – Mbabane
Branch Code – 660564
Swift Code – SBICSZMXXX

You must bring your original proof of payment and a certified copy must accompany your
application form.

NB: Students must always state on the deposit slip:


Initials and Surname/ID number/Telephone/Cell phone number

Deadline for submission of applications is Friday the 02nd of June 2023

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EMCU APPLICATION FORM 2023/2024
SECTION G: SIGNATURE OF APPLICANT

Note: An applicant under the age of 18 must have this form signed by either of his/her parents.
Where an applicant has no parents (e.g. they are deceased) or the parents are divorced, a legal
guardian is normally officially appointed. In such cases the legal guardian must sign this form. If
you do not have a parent or a legal guardian, a responsible adult family member (next of kin) or
other responsible adult who is prepared to make the declaration and the undertaking must sign
with you. The details of the parent/legal guardian must be listed on this form.

The applicant gives permission for information about academic progress to be divulged to the
person/sponsor liable for payment of fees. The applicant consents to personal information being
utilised for government and university statistical purposes.

If any error in the processing/verification of certificates/documents of an applicant is detected


during admission or registration, the Institution reserves the right to cancel such admission at any
stage at which error is detected.
If it is found, at any stage, that a candidate, a) doesn't not fulfil the eligibility requirements; b) has
used fraudulent means to secure admission; c) has made false or incorrect statements in the
application form, has not signed on the application form or somebody else has done so on his/her
behalf. He / She shall not be allowed to complete the admission formalities, or in the case already
admitted, his/her admission shall be canceled.

NB: POINTS 1 AND/ OR 2 MUST BE COMPLETED AND SIGNED

1. APPLICANT
I hereby declare that this information is true and
correct.

Signature ___________________________________

Date Place

2. PARENT/GARDIAN

I hereby declare that this information is true and


correct.

Signature _________________

Date Place

Deadline for submission of applications is Friday the 02nd of June 2023.

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EMCU APPLICATION FORM 2023/2024

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