Application Form For Admission Note Completed Application -PDF Free Download

APPLICATION FORM FOR ADMISSION Note Completed application

2019 | 2 views | 8 Pages | 552.70 KB

and/or Birth Certificate when completing this form. The completed application form must be accompanied by proof slip from the bank of application fee payment or receipt offered by the University cashier 7) The Lusaka Apex Medical University (LAMU) uses English as medium of instruction. International students



5 Application fees can be paid by electronic transfer or bank deposit as note 1 above
The banking details for the University are as follows
Kwacha Account
i Account Name Lusaka Apex Medical University
ii Account Number 1095776500148
iii Name of Bank Zambia National Commercial Bank Plc ZANACO
iv Name of Branch Manda Hill
v Branch Code 078
vi Swift code ZNCOZMLU
USD Account
i Account Name Lusaka Apex Medical University
ii Account Number 1095776500249
iii Name of Bank Zambia National Commercial Bank Plc ZANACO
iv Name of Branch Manda Hill
v Branch Code 078
vi Swift code ZNCOZMLU
6 The application form MUST be completed as fully and as accurately as possible to avoid delay in processing
Use names appearing on the identity document such as National Registration Card Passport School Certificate
and or Birth Certificate when completing this form The completed application form must be accompanied by
proof slip from the bank of application fee payment or receipt offered by the University cashier
7 The Lusaka Apex Medical University LAMU uses English as medium of instruction International students
from non English speaking countries must provide proof of English proficiency E g from British Council
Ministry of Education in their respective countries or Consulate where possible If the applicant does not have
any English proficiency proof they will be required to complete English Language studies at Evelyn Hone
College or UNZA in Lusaka prior registration at LAMU
8 Applicants whose previous degrees Certificates were obtained at a university other than Universities in Zambia
must submit certified copies of their previous degree certificates with their application as indicated in 7 above
NB For international applicants Please provide translated copies from embassies or consulates where
applicable
9 Requirements for a study permit for international applicants are as follows
i Application form form 20 The form can be downloaded from the Zambia Immigration Website
www zambiaimmigration gov zm
ii Two recent Passport size photos
iii Photocopies of current passport
iv Letter of admission from LAMU
v Status of the host parents or guardian
vi Proof of commitment from the sponsor
vii Police clearance report from your country
viii Medical report from a government health hospital including chest X ray
ix Covering letter to the region immigration officer
x Payment of prescribed fees
2
10 Personal Details To be completed by all applicants
Surname Family name
Forename s Given name s
Title e g Mr Miss Mrs Ms Dr Prof
Previous surname where applicable
Date of birth day month year
Identity Number NRC Passport
Gender male or female
Permanent home address


Address for correspondence if different

Telephone
Fax
E mail
Nationality
3
11 Programme Preference Tick refer to programme appendix to this application form
a Pre Medical Foundation Programme
All the four subjects listed below need to be taken in this
programme Biology
Chemistry
Mathematic
s Physics
b Diploma Programmes
General Nursing
Physiotherapy
c Medical Degree Programmes
Bachelor of Medicine Surgery MBChB
d Pharmacy Degree programme
Bachelor of Science Pharmacy BSc Pharm
e Nursing Degree Programmes
Bachelor of Science Nursing BScN
f Health Sciences Degree Programmes
Bachelor of Science Physiotherapy BSc Physio
Bachelor of Science Environmental Health BSc EnvH
g Faculty of Medical Radiation Sciences
Bachelor of Science Diagnostic Radiography BSc Diag
Masters of Medicine
Clinical Oncology
Radiology
h Faculty of Public Health
Master of Public Health MPH
Specify Title Of Programme
a First Choice
b Second Choice
12 Method of Study University at 8hrs University at 16
Length of course Starting date
Languages Proficiency
4
Please indicate your proficiency in English and one other language
i English language tick where appropriate
Excellent Good Fair Poor
Written
Spoken
Level of attainment
ii Any other language Written Spoken Level of attainment
Education please complete this section whether or not you attach a curriculum vitae
Grade Twelve or its equivalent
a
Year Exams Examining Grades Level
Schools Attended Subjects Taken
Taken Body O or A
Please attach copies of your certificate s transcript s and or official award letter s to your application
b
University or College Dates of attendance Qualification Major Class or Grade
from to

Please attach copies of your degree certificate s transcript s and or official award letter s to your
application
Any other relevant qualification and or experience





5


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