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Zambia College of Agriculture - Monze
Open Distance Learning
APPLICATION FORM FOR 2027 INTAKE
Diploma in General Agriculture
APPLICATION FORM FOR 2027 INTAKE
Diploma in General Agriculture
Personal Details
Surname:
Surname:
Marital Status:
Date of Birth:
Nationality:
Gender:
Address:
City/Town:
Phone Number:
Email Address:
Education and Qualifications
Last Secondary School: Chikupi vocational training center
Grade 12 or Equivalent Results
| Subject | Grade |
|---|---|
| English Language | 5 |
| Mathematics | 8 |
| Science Combined | 8 |
| Agricultural Science | 8 |
| Subject | Grade |
|---|---|
| Civic Education | 6 |
| Geography | 8 |
| Religious Education | 3 |
Financing, Health and Other Information
Who is financing your studies: Self Sponsored
Name of Sponsor: Dr Charles shindaile
Sponsors phone number: +260979910027
Address of sponsor: Farm no. 2036/D Livingstone road Choma
email address: cmshindaile@gmail.com
Do you require special diet? : No
If Yes, what type of special diet do need? : Non
Do you suffer from any illness/disability or have special health/medical needs?: No
Describe your special condition : Non
Particulars of the person to be contacted in case of an emergency
Name of Person: Owen cheelo
Phone number(s): 0977883108
Addess: farm no. 2036/D Livingston road choma
Email Address: cmshindaile@gmail.com
Process Information
Application Computer Serial Number : 4
Applicant category : None School Leaver
Preferred Residence : Boarding
Date of Submission:
Application Form Payment Receipt No:
Payment Method: Bank
Application Status: Additional Details
Attachments
The following attachments were submitted with the application.
| Document |
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