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2023 Zamcol

This document is an application form for admission to Zamcol for the 2023 academic year. It requests personal details such as name, date of birth, contact information, next of kin, current employment details, academic qualifications including exam results, and choice of course selection. Applicants are to select one course from Schedule A or two courses, selecting one from Table 1 and another from Table 2 of Schedule B. The form also asks if the applicant has any special education needs or disabilities. Applicants are to sign and attach certified copies of their academic and professional certificates before sending the completed form to Zamcol.

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Bright Alike Chiwevu
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156 views2 pages

2023 Zamcol

This document is an application form for admission to Zamcol for the 2023 academic year. It requests personal details such as name, date of birth, contact information, next of kin, current employment details, academic qualifications including exam results, and choice of course selection. Applicants are to select one course from Schedule A or two courses, selecting one from Table 1 and another from Table 2 of Schedule B. The form also asks if the applicant has any special education needs or disabilities. Applicants are to sign and attach certified copies of their academic and professional certificates before sending the completed form to Zamcol.

Uploaded by

Bright Alike Chiwevu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM No.:………..

RECEIPT No. …………………….


Phone:+260 966 322590
ISSUED BY ……………………. +260 965 373707
DATE: ……………………. +260 971 576694
STATION: ……………………. Email: [email protected]
[email protected]
Website: www.zamcol-ac.com

APPLICATION FOR ADMISSION 2023

PART 1 PERSONAL DETAILS

SURNAME

OTHER NAMES

D D M M Y Y Y Y
DATE OF BIRTH

GENDER F M TICK

MARITAL STATUS NATIONALITY

N.R.C NUMBER

PHONE NUMBER: WORK …………………………………… CELL PHONE:…………………………………….

POSTAL ADDRESS:………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………..

E-MAIL ADDRESS:…………………………………………………………..

RESIDENTIAL ADDRESS:…………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………..

NEXT OF KIN/GUARDIAN

NAME:…………………………………………………………………………………………………………………………..

ADDRESS:……………………………………………………………………………………………………………………..

RELATIONSHIP:…………………………………………………PHONE/CELL No.:……………………………………..

PART 2: EMPLOYMENT DETAILS

CURRENT EMPLOYMENT:…...………………..…………………..………………………………………………………

STATION………………….……………………………………PROVINCE…..……………………………………………

IF YOU ARE A SERVING TEACHERS PLEASE PROVIDE THE FOLLOWING:

NAME OF SCHOOL:………………………………………………………………………………………………………….

DATE OF FIRST APPOINTMENT :……………………………………………. TS No.:………………………….

DISTRICT:………………………………………………………….. PROVINCE:………………………………………….
LAST SCHOOL/INSTITUTION ATTENDED………………………………………………………………………………..

PART 3: SCHOOL CERTIFICATE RESULTS OBTAINED (‘O’ LEVELS ONLY)


SUBJECT GRADE SUBJECT GRADE
1 5
2 6
3 7
4 8
PART 4: OTHER QUALIFICATIONS OBTAINED
INSTITUTION QUALIFICATION OBTAINED DATE

PART 5: CHOICE OF COURSES. (PLEASE SELECT BY PLACING A TICK)


COURSE SCHEDULE A COURSE SHEDULE B
TABLE 1 TABLE 2
COURSE TICK COURSE TICK COMBINATION TICK
BUSINESS STUDIES ENGLISH SOCIAL STUDIES
HOME ECONOMICS RELIGIUOS EDUCATION ART
DESIGN & TECHN MATHEMATICS ZAMBIAN LANGUAGES
(INDUSTRIAL ARTS)
SCIENCE
AGRICULTURE SCIENCE
TEACHING METHODOLOGY
ICT WITH EDUCATION
DIP. IN COMPUTER SCIENCE

NB: 1. Courses in Schedule A cannot be combined. You are expected to choose only one while those in
Schedule B will require you one to choose from Table 1 and the second one from Table 2.
2. Social studies will embrace compressed versions; (Civic Education, History and Geography)
PART 6: SPECIAL EDUCATION NEEDS
DO YOU HAVE ANY DISABILITY? (TICK)
VISION ……………………………. MOBILITY …………………………
HEARING ……………………………. SPEECH …………………………
OTHER (SPECIFY)…………………………

APPLICANT’S SIGNATURE:………………………………… DATE……………………..


NB: Ensure you attach Certified Photo copies of your Academic and Professional Certificates.

SEND TO: THE EXECUTIVE DIRECTOR


ZAMCOL
P.O. BOX 110353
SOLWEZI

OFFICIAL USE ONLY


SELECTED SUBJECT OFFERED………………………...……………. ADMISSION No.:……………….
NOT SELECTED

SIGNATURE:………………………………………. POSITION:…………………………….

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