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Question	Answer
Form Name	University Of Namibia Form
Form Length	4 pages
Fillable?	Yes
Fillable fields	262
Avg. time to fill out	26 min 44 sec
Other names	unam online registration, university of namibia online application 2021, is online applicaton for namibia, unam online application 2021

12

Form Preview Example

A: FULL & PART-TIME STUDIES UNIVERSITY OF NAMIBIA

This applica on is not binding on either the applicant or the University of Namibia. All informa on will be treated as conﬁden al. An applica on fee as speciﬁed below must accompany this applica on.

CHECKLIST FOR APPLICANTS: (Please mark enclosed)

ID Document - cer ﬁed copy or

Passport - cer ﬁed copy or

Birth Cer ﬁcate - cer ﬁed copy

School Leaving Cer ﬁcate - cer ﬁed copy

Applica on Fee

Oﬃcial Transla on (Non-English Documents)

NQA Evalua on (Interna onal Qualiﬁca ons)

School Results/Rapport

ACADEMIC YEAR APPLIED FOR:

The closing date for applica ons:

31 August

The closing date for late applica ons:

28September

(Excluding School of Medicine)

PASSPORT PHOTO

OF APPLICANT (Compulsory)

Please a ach

arecent passport

photograph of yourself.

Instruc ons: Use block le ers to complete this form where space is provided or place an ‘X’ in the correct square.

Incomplete applica ons will not be accepted. All cer ﬁed documents will be ﬁled - no copies will be returned to applicants.

Applica on Fees (Non-refundable)

The following must be paid in crossed postal orders, made out to

the University of Namibia or direct bank deposit.
	Namibian Applicants (un l 30 Sept)	N$100
	Interna onal Applicants (un l 30 Sept)	N$200
	Late Namibian Applicants (un l 31 Oct)	N$200
	Late Interna onal Applicants (un l 31 Oct)	N$300

Completed applica on forms must be mailed to: The Oﬃce of the Registrar, University of Namibia, Private Bag 13301, Windhoek, NAMIBIA.

For Oﬃcial Use

STUDENT NUMBER:

SECTION 1: PROPOSED COURSE OF STUDY

Course of study for which you wish to enrol:

Campus

Full-Time

Part-Time

First Choice:

*Qualiﬁca

on Code

Second Choice:

*Qualiﬁca

on Code

(Your second choice will be considered if your ﬁrst choice applica

on is unsuccessful.)

(* See insert for qualiﬁca on code)

SECTION 2: APPLICANT’S PARTICULARS

Title:

Mr

Ms

Other

(specify)

Surname:

First Name in full:

Ini als:

SECTION 3: CONTACT PARTICULARS

(NOTE: Postal addresses or telephone numbers of schools or hostels are unacceptable for applica on purposes, since correspondence may be mailed to you well aŌer you have leŌ your school or hostel.)

Postal Address:

+ Code:

Cell No: Fax No: E-mail:

Residen al Address:

FOR OFFICIAL USE ONLY:

ACCEPT FIRST CHOICE

ACCEPT SECOND CHOICE

RETURNED

REJECTED

CONDITIONS APPLICABLE:

SYMBOLS OBTAINED:

OVERALL POINTS OBTAINED:

ENGLISH

MATHEMATICS

BIOLOGY

PHYSICAL SCIENCE

SECTION 4: PERSONAL PARTICULARS

Date of Birth:

D

D

M

M

Y

Y

Y

Y

I.D. No.:

Passport No.:

Marital Status:

Single

Married

Gender:

M

F

Maiden Name:

(if applicable)

Mother Tongue:

Home Town:

Ci zenship:

Namibian

Other (specify)

If not a Namibian ci

zen, please apply for a study permit from your country of origin.

Do you have a disability?

Yes

No

(for planning purposes only)

If ‘yes’ please specify.

Based on your disability, do you have special needs?

Yes

No

Do you suﬀer from any nervous aﬀec

on or mental abnormality?

Yes

No

(for planning purposes only)

If ‘yes’ please give details of the nature, severity,

date and dura

on of the illness.

Do you suﬀer from any other illness?			Yes			No		(for planning purposes only)
If ‘yes’ please give details of the nature, severity,	date and dura	on of the illness.


(Please note that you may be contacted.)

SECTION 5: EMPLOYMENT PARTICULARS (only if applicant is in full- me employment)

Name of Employer:

Your Occupa on:

Employer’s Postal Address:

Employer’s Telephone No.:

SECTION 6: APPLICANT’S NEXT OF KIN/LEGAL GUARDIAN PARTICULARS

(To be contacted in case of emergency.)

Family rela onship with the person whose par culars are supplied.

Father

Mother

Spouse/partner

Guardian

Title:

Mr

Ms

Other (specify)

Surname:

First Names in full:

Ini als

I.D. No.:

Home Address (next of kin/guardian):

Tel No.: Work

Tel. No.: Home

Cell No.:

Employer (next of kin/guardian):

Occupa

on:

Employer’s Address:

SECTION 7: FORMAL STATISTICAL INFORMATION

Region of Origin (if residing in Namibia) or country of permanent residence:

Karas

Hardap

Khomas

Erongo

Omaheke

Otjozondjupa

Kunene

Omusa

Oshana

Ohangwena

Otjikoto

Kavango

Caprivi

Other (specify)

SECTION 8: SCHOOL LEAVING PARTICULARS

Last secondary school a ended:

Address of school:

Highest grade passed:

Current grade (if applicable):

Date of examina on:

Examina on number:

Examina on body:

Note: Current Grade 12 Scholars in Namibian secondary schools: Kindly submit the latest available School Rapport.

Note: A cer ﬁed copy of your School Leaving Cer ﬁcate should accompany this applica on. Please furnish your NAMIBIAN School Leaving Cer ﬁcate (Grade 12) if you aƩended a Secondary School in Namibia.

Subject

Level ##

(See table below)

Symbol

LEVEL

ON = NSSC	IG = IGCSE	AL = A LEVEL	HG = HIGHER GRADE
NH = NSSC	HI = HIGCSE	OL = O-LEVEL	SG = STANDARD GRADE
			LG = LOWER GRADE

Interna onal students should note that only original School Leaving Cer ﬁcates or an Advice of Results with a conﬁrma on from the relevant Examina on Authority sta ng that cer ﬁcates will be issued during the ﬁrst year of registra on, will be accepted. No mock results or School Rapports will be considered.

SECTION 9: POST-SCHOOL ACADEMIC QUALIFICATIONS

Note: A full Academic Record issued by the ins tu on should accompany this applica on.

Student No.	From Year		To Year	Name of University/Technikon/College


Name of Programme (e.g. BA):					Awarded:	Y		N


Student No.	From Year		To Year	Name of University/Technikon/College


Name of Programme (e.g. BA):					Awarded:	Y		N


Have you ever been refused admission to any Ter			ary Ins tu on?			Y		N

Are you currently enrolled at the	University of Namibia?					Y		N

If ‘yes’ please indicate course of study.

SECTION 10: ACHIEVEMENTS

A.SPORT & CULTURE

Specify achievements and also the level(s) at which you have par cipated (school, club, regional, na onal):

Ac vity

Level

B.GENERAL

Indicate any leadership posi ons held:

Posi on

Field of Ac vity

DECLARATION

Ihereby declare that all the par culars given in this applica on form are true and correct. I further declare that my enrolment as a student at the University of Namibia (UNAM) shall be subject to the terms and condi ons contained in the agreement, which I shall complete and sign at registra on.

SIGNATURE OF APPLICANT

Date

SIGNATURE OF GUARDIAN

(If applicant is under 21 years of age)

BANK DETAILS

UNIVERSITY OF NAMIBIA

FIRST NATIONAL BANK - WINDHOEK Account number: 55500057621 Branch code: 281872

Swi code: FIRNNANX

Fax number: +264 61 206 3704/3121

Date

FOR OFFICIAL USE ONLY:

APPLICATION FEE RECEIVED: _____________	RECEIPT NUMBER:_________________________
LATE FEE RECEIVED: ____________________	RECEIPT NUMBER:_________________________

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In the Course, of, study, for, which, you, wish, to, enrol Campus, First, Choice SECTION, APPLICANTS, PARTICULARS Title, Surname, First, Name, in, full Other, specify Part, Time In, ici, dals Postal, Address Reside, nci, dal, Address Code, Cell, No and Fax, No area, note the information you have.

university of namibia online application Courseofstudyforwhichyouwishtoenrol, Campus, FirstChoice, SECTIONAPPLICANTSPARTICULARS, Title, Surname, FirstNameinfull, Otherspecify, PartTime, Inicidals, PostalAddress, ResidencidalAddress, Code, CellNo, and FaxNo blanks to fill out

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stage 3 to filling out university of namibia online application

The SECTION, PERSONAL, PARTICULARS DateofBirth, DD, MM, YYYY ID, No Passport, No Gender, Mother, Tongue, Cici, d, zen, ship Marital, Status Single, Married, Maiden, Name if, applicable HomeTown, Namibian, and Other, specify area will be your place to put the rights and obligations of each side.

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