THE CATHOLIC UNIVERSITY OF MALAWI
Montfort Campus, P.O. Box 5452, Limbe,Malawi
Tel: (265) 0111 625 070/ 0111 625071 Email: registrar@cunima.ac.mw
www.cunima.ac.mw
UNDERGRADUATE APPLICATION FORM
Complete both sides of this Application Form and send it to: The University Registrar, The Catholic University of Malawi, Montfort Campus, P.O. Box 5452, Limbe, Malawi, with a non-refundable application fee of K5000 to be deposited to one of the University’s bank accounts as per advertisement.
SECTION 1: PERSONAL DETAILS
Surname: ___________________Other Names __________________Date of Birth____________
Nationality____________________ Gender: _________________Marital Status:______________
Address for Correspondence: ______________________________________________________
Tel. Number: _________Fax Number:________Email address (if any)_______________________
Religious Affiliation:[ ] Catholic [ ] Protestant (specify):________________________________
Parish/Congregation: ________________________ [ ] Muslim [ ] Other (specify):_________
Do you have any disability? [ ] Yes [ ] No. If YES, state nature of disability.
______________________________________________________________________________
SECTION 2: ACADEMIC RECORD
List All High/Secondary Schools Attended:
Name: _______________________ Address: _____________________ From: ______ To: _____
Name: _______________________ Address: _____________________ From: ______ To: _____
Name: _______________________ Address: _____________________ From: ______ To: _____
Attach photocopies of ALL Academic Certificates
List All Colleges/Universities Attended
Name: ______________________ From: _____ To: _____ Degree/Diploma Earned ___________
Name: ______________________ From: _____ To: _____ Degree/Diploma Earned ___________
Name: ______________________ From: _____ To: _____ Degree/Diploma Earned ___________
Attach photocopies of ALL Academic Certificates and Transcripts
SECTION 3: ACADEMIC PROGRAMMES
BSoc (Economics), BSoc (Political Leadership), BSoc (Social Work), BCom (Accountancy), BCom BCom (Business Administration),
1ST Choice ____________________ 2nd Choice ________________ 3rd Choice_____________
SECTION 4: FINANCIAL SUPPORT
Who will sponsor your education at the Catholic University of Malawi? ______________________
If it is an institution or any other body other than self, please attach a letter from the Sponsor. If self, please indicate how you will raise money: _________________________________________
______________________________________________________________________________
SECTION 5: RECOMMENDATION
(By the Applicant’s religious leader e,g. priest, pastor, etc)
Please comment on the Applicant’s suitability to study at the Catholic University of Malawi:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Name: _____________________Signature: _____________________ Date: ________________
Address: ______________________________________Telephone Number_________________
SECTION 6: VERIFICATION
(Applicant’s Signature Required)
By signing this Application Form you confirm that the information is correct and that misrepresentation of facts on the Application Form could be cause for expulsion or a suspension from the Catholic University of Malawi if discovered after enrolment.
Signature: ___________________________________ Date: ____________________
FOR OFFICIAL USE ONLY
Recommendation by Faculty Dean:
Recommended programme: _______________________________Number of Years: [1] [2] [3] [4]
Not Recommended – Reason: _____________________________________________________
Dean’s Signature____________________________________________ Date________________
Endorsed by the Deputy Vice Chancellor-Academic:
DVC’s Signature____________________________________________ Date________________
Admissions Committee Decision:
Approved – Programme: __________________________________ Number of Years: [1] [2] [3] [4]
Not Approved – Reason: _____________________________________________________
Chairperson’s Signature_______________________________________ Date________________
Action by Chairperson of University Senate:_________________________________________
Signature of Chairperson of University Senate: _________________________ Date___________
