University Admission Application

APPLICATION FORM

First Name: Last Name: Other Name: Phone Number: Email Address: Date of Birth: Gender: Marital Status: Next of Kin: Province: National Registration Number:

Program Type:

Health Program Non-Health Program Short Courses

HEALTH PROGRAMS NON HEALTH PROGRAMS: SHORT COURSES (SKILLS DEPARTMENT): Study Mode: Intake: Upload NRC: Upload School Certificate: Upload Proof of Payment