University Of Namibia Form PDF Details

You will find information about the type of form you need to fill out in the table. It can show you the time you'll need to complete university of namibia form, what fields you need to fill in and several other specific facts.

QuestionAnswer
Form NameUniversity Of Namibia Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesunam application, unam online application, is online applicaton for namibia, university of namibia application

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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