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(3?) university ff LUSAKA ADMISSIONS OFFICE | P.O BOX 36711 | LUSAKA, ZAMBIA 1211 258409 | 0977 377430| 0961 917 862| FAX: 0211 233409 E: ictar@zamnet.zm / unilus@zamnet.zm www.unilus.ac.zm APPLICATION FOR ADMISSION (UNDERGRADUATE) OFFICIAL USE ONLY [Receipt No: INSTRUCTIONS «+ Please read through the form carefully before filling + Provide information where appropriate. + Enclose two (2) references from your referees (One academic and one professional) + Attach all supporting documents for your application (i.e. evidence of qualifications and CV) | Paste One Passport + Applications must be sent to the above address + Please write in Block Letters and Mark with an "X" where appropriate e.g [X] Here, size photograph PROGRAMME INFORMATION First Choice, (Refer to Page 2) Second Ch INTAKE: January [| June year: 2015({_] 2016 [_] 2017[ MODE OF STUDY: Fulltime {_] Parttime [_] Distance Learning [_] APPLICANT CATEGORY: School Leaver {_] Non School Leaver (_] Surname (Mr/Mrs/Ms/Dr) Other Names: sex: Male {_] Female {_] Marital Status Married(_) Nationality: National Registration Card Ni If Non-Zambian, Passport No. PERSONAL INFORMATION Date of Birth:( [ ](_[_] (LJ single (_] Telephone No: Email Address: Postal Address: Residential Addres: NEXT OF KIN Name:, Adress: CONTACT DETAILS Mobile Phone No Fax: Relationship: Mobile Phone Number: PASSION FOR QUALITY EDUCATION. Email: OUR DRIVING FORCE ACADEMIC BACKGROUND (Attach certified copies of transcripts and certificates) Previous Educational Institution Attended {Secondary and University/College) | _From To Qualification obtained ‘ARE YOU EMPLOYED? Yes [_] NO [_] Details of employment (Attach CV) Employer: Perio Position held; Nature of responsibility; Personal Brief In what ways do you feel the programme of study will affect your personal and career development? Do you have any permanent injury, illness or disability which may affect your ability to study? yes] no (] If yes, please describe the nature of your injury, illness or disability How did you know about the UNILUS programmes? Advertisement onTv [_] Advertisement on Radio [_] Advertisement in Newspaper (_] Brochure (J) Personal Recommendation [_] _ UNILUS website O Other (please specify), — ef DECLARATION | certify that the information given in this application and supporting documents is accurate and complete. | understand that UNILUS reserves the right to reverse any offer of admission made on the basis of inaccurate information. Signature. Date, PROGRAMMES ON OFFER FOR THE ACADEMIC YEAR BACHELOR OF LAWS (LLB) ‘BACHELOR OF BUSINESS ADMINISTRATION BACHELOR OF SCIENCE IN BANKING & FINANCE BACHELOR OF ARTS IN ECONOMICS BACHELOR OF SCIENCE IN ECONOMICS & FINANCE BACHELOR OF ACCOUNTANCY BACHELOR OF SCIENCE IN PURCHASING & SUPPLY MANAGEMENT BACHELOR OF SCIENCE IN MARKETING BACHELOR OF SCIENCE IN HUMAN RESOURCE MANAGEMENT BACHELOR OF SCIENCE IN PUBLIC HEALTH BACHELOR OF SCIENCE IN INSURANCE & PENSION MANAGEMENT BACHELOR OF ARTS IN DEVELOPMENT STUDIES BACHELOR OF SCIENCE IN POLITICS & INTERNATIONAL RELATIONS BACHELOR OF SCIENCE IN PUBLIC ADMINISTRATION BACHELOR OF BUSINESS ADMINISTRATION WITH EDUCATION BACHELOR OF ARTS IN SOCIAL WORK BACHELOR OF SCIENCE IN REAL ESTATE ‘Bsc HONOURS IN ACCOUNTING AND FINANCE CERTIFICATE IN INNOVATION & ENTREPRENEURSHIP PROGRAMME IN LAW PRACTICE AND PROCEDURE BACHELOR OF SCIENCE IN INFORMATION SYSTEMS AND TECHNOLOGY BACHELOR OF SCIENCE IN INFORMATION SYSTEMS PASSION FOR QUALITY EDUCATION... OUR DRIVING FORCE CHNOLOGY WITH EDUCATION

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