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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: Chitambi day secondary school kasama
Grade 12 or Equivalent Results
| Subject | Grade |
|---|---|
| English Language | 6 |
| Mathematics | 3 |
| Science Combined | 7 |
| Civic Education | 5 |
| Subject | Grade |
|---|---|
| Religious Education | 3 |
Financing, Health and Other Information
Who is financing your studies: Self Sponsored
Name of Sponsor: Ntamanyile siwale
Sponsors phone number: 0779897652
Address of sponsor: Mainza chona
email address: siwalentamanyile929@gmail.com
Do you require special diet? : No
If Yes, what type of special diet do need? :
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: Racheal Nawale
Phone number(s): 0772633660
Addess: Mainza chona
Email Address: siwalentamanyile929@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: Prgrams and Qualifications
Attachments
The following attachments were submitted with the application.
| Document |
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