ADMISSIONS OFFICE:
P.O. Box 36711, Lusaka, Zambia.
Phone: +260 211 258 409/505 | Cell: +260 976 075 850
Customer Service/WhatsApp: +260 972 832 671
Email: admissions@unilus.ac.zm Website: www.unilus.ac.zm
APPLICATION FOR ADMISSION
OFFICIAL USE ONLY RECEIPT No.______________
INSTRUCTIONS
• Please read through the form carefully before filling it in.
• Application form cost - K200 for Undergraduate and K250 for Postgraduate
• Provide information where appropriate. PASSPORT
• Enclose an academic reference. SIZE
• Attach all supporting documents (i.e Grade 12 results, NRC and or qualifications).
• Applications must be sent to the above address. PHOTO
• Please write in block letters and mark with an “X“ where appropriate e.g. [x]
NOTE: GRADE 12 RESULTS, NRC AND CERTIFICATES SHOULD ALL BE CERTIFIED COPIES
U N D E R G R A D U AT E P O S T G R A D U AT E
PROGRAMME INFORMATION
Programme Applied for:.....................................................................................................................................................
Second Choice:..................................................................................................................................................................
INTAKE: January [ ] June [ ] YEAR : 2023 [ ] 2024 [ ] 2025 [ ]
MODE OF STUDY: Full-Time [ ] Part-time [ ] Distance [ ]
APPLICANT CATERGORY: School Leaver [ ] Non-School Leaver [ ]
PERSONAL INFORMATION
*Please fill in your names as they appear on your NRC/Passport
Surname:............................................................................................................................................
Other Names......................................................................................................................................
SEX: Male [ ] Female [ ] Date of Birth:_____/______/_____ Marital Status: Married [ ] Single [ ]
Nationality:........................................................................................................................................................................
National Registration Card No.(NRC):............................................................................................................................
If Non- Zambian, Passport No:........................................................................................................................................
CONTACT DETAILS
*Ensure that the email listed is reliable. All correspondence will be made to the listed email
Phone Number:................................................................ Alternative Number:..............................................................
Email Address:..................................................................................................................................................................
Postal Address:................................................................................................................................................................
Residential Address:........................................................................................................................................................
NEXT OF KIN
Full Names:........................................................................................................................................................................
Phone Number:............................................................. Alternative Number:.................................................................
Email Address:..................................................................................................................................................................
Postal Address:................................................................................................................................................................
Residential Address:........................................................................................................................................................
ACADEMIC BACKGROUND
(Attach certified copies of Transcripts and certificates)
Previous Educational Institution Attended From To Qualification Obtained
(Secondary & University/ College)
1
ARE YOU EMPLOYED? YES [ ] NO [ ] Details of employment (Attach CV)
Employer:................................................................................................................................
Period:.....................................................................................................................................
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.
................................................................................................................................................
................................................................................................................................................
APPLICATION FORM CHECKLIST FOR APPLICANTS [x] EXEMPTION
REQUEST
1. High School Certificate/Statement of results [ ]
2. National Registration Card/Passport/Drivers License [ ] YES [ ] NO [ ]
3. Attach two (2) Passport Sized Photo [ ]
4. Application form completely filled out accurately [ ]
If yes, kindly refer
5. Payment for application form attached (Deposit Slip) [ ]
to the exemptions
Postgraduate applicants must also attach the following: request form on
6. Degree Certificate/Professional Qualification (e.g Full ACCA/CIMA/ZICA)/Statement of results page 3
7. Two Reference Letters (One Academic & One Professional)
8. Curriculum Vitae
Note: Applicants should ensure that this form is complete and all the required attachments at submitted.
Incomplete application forms will not be processed.
DECLARATION
I certify that the information given in this application and supporting documents is accurate and complete. I
understand that the University Of Lusaka reserves the right to reverse any offer of admission made on the basis
of inaccurate information.
Signature_____________________________________ Date________________________
ADMISSIONS OFFICE:
UNIVERSITY P.O. Box 36711, Lusaka, Zambia.
Phone: +260 211 258 409/505 | Cell: +260 976 075 850
of LUSAKA Customer Service/WhatsApp: +260976200094
Email: admissions@unilus.ac.zm Website: www.unilus.ac.zm
EXEMPTIONS REQUEST FORM
OFFCIAL USE ONLY RECEIPT No.______________
INSTRUCTIONS
• Please read through the form carefully before filling it in.
• Provide information where appropriate.
• Please write in block letters and mark with an “X“ where appropriate e.g. [x]
Note: All certificates submitted will be re-verified with the Examination Council of Zambia
STUDENT INFORMATION
*Please fill in your names as they appear on your NRC/Passport
Surname:.............................................................................................................................................
Programme:.......................................................................................................................................................................
Student Number:...............................................................................................................................................................
TRANSCRIPT/STATEMENT OF RESULTS ATTACHED: YES [ ] NO [ ]
CONTACT DETAILS
Phone Number:................................................................ Alternative Number:..............................................................
Email Address:..................................................................................................................................................................
Postal Address:................................................................................................................................................................
OFFICIAL USE ONLY
COURSES EXEMPTED
RECEIVED BY:________________________________ PROCESSED BY:________________________________
APPROVED:__________________________________ COMMENT:_____________________________________
DATE:_______________________________________ DATE:_________________________________________
