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    Application Form

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    brothertonekathyole
    Individual agribusiness proposal sample

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    © All Rights Reserved
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    Application Form

    Uploaded by

    brothertonekathyole
    11 views6 pages
    Individual agribusiness proposal sample

    Original Title

    APPLICATION FORM

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    Individual agribusiness proposal sample

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views6 pages

    Application Form

    Uploaded by

    brothertonekathyole
    Individual agribusiness proposal sample

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 6

    ST PATRICK`S COLLEGE OF NURSING AND MIDWIFERY APPLICATION

    FOR ADMISSION TO CERTIFICATE AND DIPLOMA PROGRAMMS IN


    NURSING AND MIDWIFERY 2019/2020 INTAKE SCHOLARSHIP
    PROGRAM
    (The space below is for official use only)
    Summary of official
    decision…………………………………………………………………………………………………
    …………………………………………………………………………………………………………….

    This Application form should be completed in block-letters and sent


    it to Admission office, St Patrick`s College Of Nursing and Midwifery,
    P.O Box 576, Lilongwe. Or to email nursingform@gmail.com

    Below tick in the bracket program you are applying for

    1. Certificate in Nursing & Midwifery ( )

    2. Diploma in Nursing &Midwifery ( )


    APPLICANT`S PARTICULARS
    1. Surname_________________________________________
    2. First name_______________________________________
    3. Middle names_____________________________________
    NOTE: The name by which you will be registered will be that
    which appears on your Malawi School Certificate of Education
    (MSCE)
    4. Date of birth____________________________________
    5. Place of birth_______________________________
    6. District________________________________
    7. Married or single_______________________
    8. Sex ( male or female)_____________________
    9. Citizenship_________________
    10. Country of residence for Non-
    Malawians__________________________________________
    11. Postal Address to which information should be sent if
    applicant is successful
    ______________________________________________________
    ______________________________________________________
    ______________________________________________________
    _____________________________________________________
    Email_____________________________________________
    Phone #____________________________________________
    NOTE: Change of this postal address and contact numbers must
    be communicated to the ADMISSIONS OFFICE immediately
    NB: This Application form must be submitted not later than 30th
    August 2019 before 4:30 pm
    MSCE QUALIFICATION or its equivalent
    SUBJECTS POINT YEAR SAT IN
    MATHEMATICS
    BIOLOGY
    PHYSICAL SCIENCE
    GEOGRAPHY
    AGRICULTURE
    CHEMISTRY
    PHYSICS

    CERTIFICATE IN NURSING AND MIDWIFERY


     Applicants must have credit passes in at least
    two subjects listed above
    DIPLOMA IN NURSING AND MIDWIFERY
     Applicants must have credit passes in at least
    three subjects listed above.
    Your application form will not be processed if you
    have not enclosed copies of MSCE certificate or
    MSCE Notification of results
    SCHOLARSHIP TERMS AND CONDITIONS
    1. The scholarship amount will be awarded as one-off
    deduction from tuition fees
    2. Applicant must be aged 42 and below
    3. Scholarship recipients who withdraw from college by
    their choice at any point will be required to
    immediately pay back to the College 100% of
    scholarship funds awarded commensurate with the
    process outlined in tuition fee policy for withdrawn
    or interrupted students 2019-2020.
    4. Students in receipt of a scholarship must agree to
    participate in the college evaluation process,
    including completing a Report form for returning to
    the college at the end of their course.
    5. The decision taken by college are final and not
    subject to appear if student withdrawn on academic
    ground.
    6. Any scholarship may be withdrawn if the students
    behavior or application to her studies are considered
    unsatisfactory.
    REGISTRATION FEE
    All interested applicants are required to deposit K6,000 (six thousand
    kwacha only) as registration fee to the following financial institutions
    BANK NAME Ned Bank
    ACCOUNT NAME ST PATRICK`S COLLEGE OF
    NURSING
    ACCOUNT NUMBER 001285469
    BRANCH LILONGWE
    SWIFT CODE PA86MWNUR19

    The registration fee can also be paid using MPAMBA transactions


    strictly to the number below. Write your transaction details in the table
    provided next page
    FILL IN YOUR MPAMBA TRANSACTION
    DETAILS IN THE TABLE BELOW
    MPAMBA AGENT
    CODE/ NUMBER USED
    TO SEND
    REGISTRATION FEE
    REFERENCE NUMBER

    TRANSACTION DATE

    DISTRICT

    STATEMENT BY APPLICANT
    I have acquainted myself with entrance qualification for admission to St
    Patrick`s College of Nursing and Midwifery with the program available
    and certify that to the best of my knowledge the information given
    above is correct.
    Signature of applicant____________________________
    Date__________________________

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