EduRole Student Information System

Application form for new students

You are requesting admission to the following programme: Bachelor of Science in Information and Communication Technology Education with Agriculture Science minor
Please complete the following form entirely to successfully complete your application.
Click on the steps below to continue.

1 - General information

In this section you will provide basic information needed for your enrolment.

Information	Input fields	Description
1.2 - Intake for Application		Select the intake you are applying for.
1.3 - National Registration Number		Please enter the ID number provided on your national identification card or passport
1.4 - Surname		Your family name
1.5 - First Name		Your given name
1.6 - Middle name		Optional
1.7 - Sex (Gender)
1.8 - Date of Birth		Minimum age for applicants is 16 years
1.9 - Nationality
1.10 - Streetname and number		For example: Munkoyo Street 1583
1.11 - P.O Box		For example: 804040
1.12 - City/Town
1.13 - Phone Number		For example: 0978168860
1.14 - Email Address		Optional (Yahoo, Hotmail, Gmail, etc)
1.15 - Country
1.16 - Disability
1.17 - Marital Status
1.18 - Scan/Photo of Deposit Slip		Deposit an application fee of ZMW150.00, upload the proof of payment. Note that your application will not be processed unless a proof of payment is attached

2 - School certificate examination results

Grade code	Grade code	Grade code
English	English Literature	Geography
Art	Agriculture Science	Commerce
Mathematics	Principles of Accounts	Physical Science
Physics	Homecraft/Cookery	Gen. Science
Chemistry	Zambian Languages	History
Metal work	Religious Education	Music
Biology	Technical drawing	Computer Science
Civic Education	French Languages	Other
Human and social biology	Business studies	Geometric Drawing
Additional Mathematics

3 - Education background and Personal documents

4 - Next of kin information

5 - Sponsors information

6 - Second and third program choices

This is the final part of your admission request, here you will need to select your second and third choice program choices, should you not get picked for your main program.

Information	Selection
6.1 - Second Choice:
6.2 - Third Choice:

7 - Submit your application

Information	Input fields	REMOVE RECORD
0 3.1 - Type of certificate
1 3.2 - Name of institution or Document		For example: Evelyn Hone
2 3.3 - Name of certification or Document		For example: Grade 12,or Diploma in Business Studies
Scan of document		Upload the certificate, degree or diploma.

Information	Input fields	REMOVE RECORD
4.1 - Full Name
4.2 - Relationship
4.3 - Phone Number
4.4 - Email
4.5 - Address
4.6 - Town

Information	Input fields	REMOVE RECORD
5.1 - Full Name
5.2 - Sponsorship
5.3 - Phone Number
5.4 - Email
5.5 - Address
5.6 - Town