ZASTI

PART A: PERSONAL DETAILS

First Name

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Last Name

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Other Name

NRC/Passport

NRC (or Passport for foreign nationals)

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Gender

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Marital Status

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Date Of Birth

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Nationality

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Medical Condition

Leave blank if none

House No.

Street

Town/City

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Province/State

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This field is required

Country

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Post Address

Email Address

Phone Number

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Employer

Employer name. Leave blank if none

PART B: NEXT OF KIN DETAILS

Full Name

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House No.

Street

Town/City

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Phone Number

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Email Address

Province/State

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Country

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PART C: PROGRAM DETAILS

Program

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Academic Year

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Intake

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Highest Qualification

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PART D: SPONSOR DETAILS

Sponsorship

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Sponsor

Name of sponsor

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Sponsor Contact Address

PART E: SUPPORTING DOCUMENTS

5Mb (.jpg, .jpeg, .png, .pdf) formats

Profile Photo

NRC/Passport

NRC (or Passport for foreign nationals)

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School Certificate

Grade twelve certificate

This field is required

Other Qualification

Medical Report

Government health facility medical report