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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 FORCEACADEMIC 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