Student Application - University of Zambia

Step 1: Personal Information

Student Name

Student Email

Phone Number

Gender

Male Female

Country of Birth Second Nationality City of Birth Date of Birth Address

Application Date

Step 2: Program and Destination

Bachelor Program

Masters Program

PhD Program

Select Destination

USA Canada Europe Asia

If other, please specify:

Step 3: Financial & Background

Select Destination

USA WHERE LOAN COVER TUITION FEES AND LIVING ALLOWANCE CANADA WHERE LOAN COVER TUITION FEES EUROPE WHERE LOAN COVER TUITION FEES ASIA SOUTH KOREA

If you select other, please specify: Who will be paying the tuition fees? Who will be paying the cost of living? Who will be paying travel expenses? Do you have any suspended/criminal history?

Yes No

Do you have any disability?

Yes No

Names of Emergency Contact

Email of Emergency Contact

Step 4: Emergency Contact & Previous Institution

Phone Number of Emergency Contact

Relationship Is the emergency contact address the same as the applicant?

Yes No

Intended Study Level/What educational level are you aiming for?

PhD Masters Bachelor

Previous Institution Details/Name of Institution Street of Institution City of Institution Province of Institution Country of Institution Post Code Language of Instruction

ENGLISH FRENCH

Step 5: Previous Studies & Documents

When did the applicant start previous studies? When did the applicant graduate from previous studies? Additional secondary school attendance?

Yes No

Study Gap – Is there a gap of 3 months or more?

Yes No

Has the student attended any post-secondary institutions?

Yes No

Do you have a passport?

Yes No

Have you ever had a visa rejection?

Yes No

Degree and Transcripts

High School Degree

Valid Passport

Step 6: Uploads & Additional Details

Recommendation Letters

Personal Statement

CV / Resume

English Certificate

Birth Certificate or National ID

Payment Proof

Agent (Select) Agent Names

Agent Email Comments