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    Application For Admission To Bindura University of Science Education

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    Taps Nhangs
    This document is an application form for admission to Bindura University of Science Education in Zimbabwe. It requests personal information from applicants such as name, date of birth, citizenship, contact details, educational history and qualifications. Applicants are asked to provide details of the program or programs they wish to apply for, their employment history and references. The form notes that submitting false information will lead to disqualification. It includes checklists for documents required to support the application.

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    Application For Admission To Bindura University of Science Education

    Uploaded by

    Taps Nhangs
    113 views4 pages
    This document is an application form for admission to Bindura University of Science Education in Zimbabwe. It requests personal information from applicants such as name, date of birth, citizenship, contact details, educational history and qualifications. Applicants are asked to provide details of the program or programs they wish to apply for, their employment history and references. The form notes that submitting false information will lead to disqualification. It includes checklists for documents required to support the application.

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    This document is an application form for admission to Bindura University of Science Education in Zimbabwe. It requests personal information from applicants such as name, date of birth, citizenship, contact details, educational history and qualifications. Applicants are asked to provide details of the program or programs they wish to apply for, their employment history and references. The form notes that submitting false information will lead to disqualification. It includes checklists for documents required to support the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    113 views4 pages

    Application For Admission To Bindura University of Science Education

    Uploaded by

    Taps Nhangs
    This document is an application form for admission to Bindura University of Science Education in Zimbabwe. It requests personal information from applicants such as name, date of birth, citizenship, contact details, educational history and qualifications. Applicants are asked to provide details of the program or programs they wish to apply for, their employment history and references. The form notes that submitting false information will lead to disqualification. It includes checklists for documents required to support the application.

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    © All Rights Reserved
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    BINDURA UNIVERSITY OF SCIENCE EDUCATION

    P. Bag 1020, Bindura


    Tel: +263 (0271) 7621-4, 7531-6
    0772 154 880-2-5-7-8
    Website:www.buse.ac.zw
    Zimbabwe

    APPLICATION FOR ADMISSION

    TO BINDURA UNIVERSITY OF SCIENCE EDUCATION

    1. PERSONAL DATA (COMPLETE IN BLOCK CAPITALS)

    1.1 Surname……………………………… 1.2 First Names………………...............................


    (as on Birth/Marriage Certificate)

    1.3 Title: MR/MRS/MISS/MS etc (If Mrs, please attach certified copy of marriage certificate)
    1.4 Previous Surname………………………………………………………………………………………….
    1.5 Date of Birth………………………….. 1.6 Sex (Tick applicable): Male/Female
    1.7 Place of Birth…………………………. 1.8 National ID No.……………………………….
    1.9 Citizenship …………………………………………………………………………………………………
    1.10Postal Address……………………………………………………………………………………………...
    1.11 Email Address……………………….. 1.12 Contact Numbers……………………………...
    1.13 Are you a permanent resident of Zimbabwe?..............................................................................................
    (If not, what permit do you hold? Attach certified copy)
    1.14 Period of residence in Zimbabwe…………………………………………………………………………

    1.15 Passport Number …………………….. 1.16 Place/Country of Issue………………………


    1.17 Do you wish to be considered for admission to residence? (Tick applicable) Yes/No
    1.18 Do you suffer from any physical/other disability for which special arrangements at University would
    be required? (Give details)……………………………………………………………………………… .

    2. NEXT OF KIN/GUARDIAN

    2.1 Surname……………………………… 2.2 First Names………………...............................

    2.3 Postal Address ……………………………………………………………………………………………..

    2.4 Contact Numbers……………………… 2.5 Email Address………………………………...

    1
    3. SCHOOL EXAMINATION FOR WHICH RESULTS ARE KNOWN
    (Please list subjects & grades in the space provided below and attach certified copies of certificates)

    Date Examining Board Level Result

    Month/Year (e.g. ZIMSEC) (e.g. O’Level, A’Level, Subject Grade


    Degree, Diploma etc)

    O’LEVEL

    A’ LEVEL

    OTHER (e.g. Degree, Diploma etc)

    2
    4. PROGRAMME(S) BEING APPLIED FOR

    4.1 Level - Postgraduate/Undergraduate/Diploma/Certificate (Tick applicable)


    4.2
    NAME OF PROGRAMME(S) IN OPTIONS PREFERRED/SPECIALIZATION
    ORDER OF PREFERENCE

    OPTION 1 OPTION 2

    5. FURTHER RELEVANT INFORMATION


    5.1 Details of relevant employment and experience (in chronological order)
    Date: (From……………To………………..) EMPLOYER/OCCUPATION JOB DESCRIPTION /DUTIES
    ………………………………………………….. …………………………………. ………………………………….
    ………………………………………………….. …………………………………. …………………………………..
    ………………………………………………….. …………………………………. …………………………………..
    …………………………………………………... …………………………………. …………………………………..
    …………………………………………………… …………………………………. …………………………………..

    5.2 Present Employment…………………………………………………………………………………...


    5.3 Period of notice required by present employer…………………………………………………………
    5.4 Names and Addresses of two referees 1. ……………………………………………………….
    …………………………………………………………
    2………………………………………………………...
    …………………………………………………………..
    6. PROSPECTIVE SPONSOR(S)
    (e.g. self, Government or other organization : Please state name)……………………………………...
    ARE YOU A UNIVERSITY STAFF DEPENDANT (wife, husband, child) ……..YES/NO
    ARE YOU A BINDURA UNIVERSITY STAFF MEMBER……………………...YES/NO
    IF ‘YES’, PLEASE GIVE NAME, DEPARTMENT AND EMPLOYMENT NUMBER…………………………………...

    3
    I DECLARE THAT THE INFORMATION I HAVE GIVEN IS CORRECT, AND THAT SHOULD IT BE FOUND FALSE,
    MY APPLICATION WILL BE DISQUALIFIED AND I WILL FACE LEGAL ACTION.

    SIGNATURE OF APPLICANT……………………………………………… DATE:…………………………………..

    FOR OFFICIAL USE ONLY

    APPLICATION FEE
    Receipt Number Date Amount

    CHECKLIST (Tick where applicable) YES NO


    1. National Identity/Passport

    2. 5 O’Levels

    Maths
    English

    3. A’Level

    4. Degree/Diploma

    5. Certificate

    6. Transcript

    7. Birth Certificate

    8. Other Certificate (Specify)………………………………………..

    CHECKED
    ADMISSIONS………………………………………………. DATE……………………………….
    DEPARTMENT……………………………………………. DATE………………………………..
    FACULTY………………………………………………….. DATE………………………………..
    ACCEPTED/REJECTED
    COMMENTS…………………………………………………………………………………………………
    ……………………………………………………………………………………..........
    4

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