UNIVERSITY OF ZIMBABWE

2017 WINTER SCHOOL APPLICATION FORM-UZ

FORM UZ STUDENTS

1.FOR OFFICIAL USE ONLY

1.1 DATE OF RECEIPT

1.2 RECEIPT NO.

1.3 AMOUNT

2, PERSONAL DATA.

2.1 SURNAME(S)

2.2 FORENAME(S)

2.3 SEX: Male (M); Female (F)

2.4 I.D. NUMBER .......................................................................................................................................................

.......................................................................................................................................................

2.5REGISTRATION
REGISTRATION NUMBER .................................................................................................................................
..................................... ....................................................................................

2.6 DO YOU SUFFER FROM ANY PHYSICAL OR OTHER DISABILITIES FOR WHICH SPECIAL ARRANGEMENTS AT

UNIVERSITY WOULD BE REQUIRED? Yes (Y); No (N) ...............................................................

IF YES PLEASE GIVE DETAILS ................................................................................................

......................................................................................................

*2.7CONTACT DETAILS

TELEPHONE NUMBERS: Home: .....................................................................................................................

Cellphone: ...........................................................................................................
...................................................................................................

E-mail:....................................................................................................................
.............................................................................................................

*N.B. The University will contact you using the above information.

1
 3. IMPORTANT NOTES TO ALL APPLICANTS

3.1 Applicants should submit this form to the Admissions Office, P O Box MP 167, Mount Pleasant, Harare, Zimbabwe.

3.2 The closing date for receipt of applications for admission is23 June 2017.

4. Fees
Humanities : $100 per course (Faculties of Arts, Commerce, Education, Law and Social Studies)

Natural Sciences : $120 per course (Faculties of Agriculture, Engineering and Science)

Life Sciences : $100 for Communication Skills course (College of HealthSciences and Faculty of
Veterinary Science)

Registration Fee : $20

Accommodation : Accommodation is available at $200 full board per room for theseven weeks.

5. CURRENT DEGREE PROGRAMME .......................................................................... LEVEL ......................................

FACULTY ....................................................................................................................................................................

5.1 COURSES SELECTED

CODE NARRATION

YES NO
6. DO YOU WANT TO BE CONSIDERED FOR ACCOMMODATION

SIGNATURE OF APPLICANT ...................................................................................DATE