MARONDERA UNIVERSITY OF AGRICULTURAL SCIENCES AND TECHNOLOGY UNDERGRADUATE ADMISSION APPLICATION FORM NOTES

Transcription

1 MARONDERA UNIVERSITY OF AGRICULTURAL SCIENCES AND TECHNOLOGY UNDERGRADUATE ADMISSION APPLICATION FORM NB: First read the NOTES on the next page and then complete all sections of the form. Print clearly in ink in the blank boxes and on the dotted lines as required. Applicants who falsify information or submit fake results will automatically face disqualification and prosecution. Page 1

2 Page 2 *2.16 ADDRESS TELEPHONE NUMBERS: Home:... Cellphone:... ADDRESS:... *N.B.All correspondence will be forwarded to the above address. 3. IMPORTANT NOTES TO ALL APPLICANTS 3.1 All applicants must complete all sections of the application form carefully and legibly. If the University discovers that any information submitted by the applicant is false, it will reject that application and may refer the matter for legal action. 3.2 All applicants must endorse at the bottom of this page that they have understood the notes given below and that they agree to their application being considered under the conditions outlined below. 3.3 Applicants should submit this form to the Admissions Office, P O Box 35, Marondera, Harare, Zimbabwe. 3.4 The closing date for receipt of applications for admission is as advised in the published advert. 3.5 All applicants MUST submit, with this form, photocopies (NOT originals) of all qualifications/certificates referred to in the application including birth certificates and I.D. cards. The copies of certificates must be certified by a Commissioner of Oaths or Head/Principal of the institution at which the examinations were taken.

3 *Any applicant who falsifies or submits fake results will face prosecution and automatic disqualification. 4. SCHOOL EXAMINATION RESULTS (list in chronological order, ALL subjects taken and results, including failure, and attach certified copies of certificates) DATE EXAMINING BODY LEVEL SUBJECT RESULT/GRADE Month Year (e.g. ZIMSEC, Cambridge) (e.g. O, M, A, CSC, etc.) O English Language O Mathematics Page 3 A 5. PROGRAMME CHOICES 5.1 First Preference: Degree Programme 5.2 Second Preference: Degree Programme. 5.3 Third preference: Degree Programme February intake August intake

4 Page 4 6. SCHOOLS ATTENDED (or college or polytechnic at which school leaving exams where taken) 6.1 HIGH SCHOOL LAST ATTENDED. (if outside Zimbabwe, indicate country name)... PERRIOD OF ATTENDANCE: START YEAR..END YEAR.. 7. PROSPECTIVE SPONSOR(S) ARE YOU A UNIVERSITY STAFF DEPENDANT (i.e. wife, husband or child)? Yes/No (delete the inapplicable) ARE YOU A UNIVERSITY STAFF MEMBER? Yes/No IF YES PLEASE GIVE NAME, DEPARTMENT AND TELEPHONE EXTENSION OF STAFF MEMBER. 8. CHECKLIST 8.1 HAVE YOU COMPLETED PAGES 1, 2, 3 and 4 (Delete the inapplicable) YES/NO 8.2 HAVE YOU SIGNED THE FORM? YES/NO 8.3 HAVE YOU PAID THE APPROPRIATE APPLICATION FEE? YES/NO 8.4 HAVE YOU FILLED IN YOUR CORRECT DATE OF BIRTH? YES/NO 8.5 HAVE YOU ENCLOSED A CERTIFIED COPY OF YOUR (i) BIRTH CERTIFICATE? YES/NO (ii) NATIONAL IDENTITY CARD? YES/NO (iii) O LEVEL CERTIFICATE? YES/NO (iv) A LEVEL CERTIFICATE (if you have any June results) YES/NO (v) OTHER CERTIFICATE(S) (Specify)? YES/NO NB: IF YOUR ANSWER TO ANY OF THE ABOVE QUESTIONS IS NO, PLEASE EXPLAIN: I DECLARE THAT THE INFORMATION I HAVE GIVEN IS CORRECT, AND THAT SHOULD IT BE FOUND TO BE FALSE MY APPLICATION WILL BE DISQUALIFIED AND I WILL FACE LEGAL ACTION. SIGNATURE OF APPLICANT... DATE

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