The Copperbelt University

Academic office

` Application No:

Official Use Only Receipt No: ...............................

Batch No: Data Entry By:

Date of Receipt of Completed Registrars Department Academic Office Application Form........................... P.O. Box 21692 KITWE ZAMBIA Tel: 260-212-225761 Fax: +260-212-222469 Received by: . E-Mail: Academicoffice@cbu.ac.zm

The Copperbelt University

APPLICATION FOR ADMISSION TO ACADEMIC YEAR: 2012

Category of Applicant: School Leaver
Student ID No.: 1. Personal Details
Non-School Leaver Special Case Year Completed

a) Surname b) First Name c) Middle Name

2. Sex: a) Female Marital Status: Married b) Male Single 3. Date of Birth: Others
D D M M Y Y

4.
5.

a) National Registration Card Number b) For Non-Zambian {Passport No.}: Place of Issue: .

c) Nationality: .. Code 6. Contact Details: Communication Lines

Telephone Nos (Land Line) .................................... Mobile Phone Nos: . Fax Number: .............................................................................. E-mail Address: .................................... 7.

Postal Address Post Office Box Town Country

8.

Residential Address House No.: Street Name: Residential Area Town

9.

Name of Parent or Guardian/Next of Kin: . Address: .

1

Admission Application Form 2012

The Copperbelt University

Academic office

. 10. Last Secondary School/Centre Attended Contact Details: Communication Lines Name: Code

Town/ City: District. .Province: ................. 11. Examination Numbers ( O levels Only)
First Attempt Second Attempt Third Attempt Year Year Year

12.

Subjects Offered at SC/GCE Ordinary Level (attach Certified Copies of Transcripts)

Code Subject Grade Code Subject Grade Code Subject Grade

13.

Subjects offered at A- Level with Grades and Examining Body Subject Grade Examining Body .. .. .. ..

1. 2. 3.... 4 14.

Last Educational Institution Attended: (Special Cases only)

Name of Institution................................................................. Code

Qualifications obtained: .

(Please attach certified copies of qualification)

15. Choice of University Programs First Choice Code Programme: .............................. Programme: ..

Second Choice Code

IMPORTANT POINT: In case your points for the best five subjects do not qualify you for any of the choices You have made above, would you accept an appropriate programme that the points total may qualify you forr acceptance? YES NO Note: If you choose NO there is no chance for an appeal.

2
Admission Application Form 2012

The Copperbelt University

Academic office

16.

For Applicants who have previously Enrolled at the Copperbelt University Student Number: .. Programme of Study : Year of Enrolment: .. Qualification Obtained: ......

17.

Indicate the appropriate option for the financing of your studies at the University
Zambia Government Bursary Family /Self Sponsorship Employer Other

18.

Are you currently engaged in any studies?

Yes

NO

If yes, state the nature of studies: . Qualification Being Sought: .Examining Body: . .

19.

Have you applied to any other University in Zambia?

Yes

NO

If Yes, please indicate name of University: .. 20. Do you have any physical or communication disabilities? If Yes, indicate by ticking the nature of disability Yes NO

Vision 21.

Mobility

Speech

Hearing
Yes NO

Other

(Specify).

Are you presently employed?

If Yes, Type of Employment: . Name of Employer: ....... Address of Employer: Period of Service: .. 22. DECLARATION I declare that the information provided by me in this application is correct and complete. I authorize the Copperbelt University to reserve the right to waive or reverse any offer of admission made on the basis of incorrect or incomplete information. Signature of Applicant . Date of Submission of Application

3
Admission Application Form 2012

THE COPPERBELT UNIVERSITY PROGRAMMES ON OFFER IN 2012 I) SCHOOL OF BUSINESS 1. 2. 3. Bachelor of Accountancy/Business Administration/Marketing Bachelor of Science in Production Management Bachelor of Science in Purchasing & Supply (BAC/BBA/MKT) (BSC PROD MGT) (BSC PURCH & SUPPLY) Admission Code 10 12 14

4. 5.
6. 7.

Bachelor of Science in Banking & Finance

Offered in the Evening

(BSC BANK & FIN)

(BSC PURCH & SUPPLY (BAC/BBA/MKT) (BSC BANK & FIN)

16
19 17 18

Bachelor of Science in Purchasing and Supply

Bachelor of Accountancy/Business Administration/Marketing Bachelor of Science in Banking & Finance

II) SCHOOL OF THE BUILT ENVIRONMENT 8. Bachelor of Architecture 9. Bachelor of Science in Building 10. Bachelor of Science in Real Estate 11. Bachelor of Science in Urban and Regional Planning III) SCHOOL OF ENGINEERING 12. Diploma in Civil Engineering 13. Diploma in Electrical Technology 14. Diploma in Electronics Technology 15. Diploma in Industrial Electronics 16. Diploma in Telecommunications Offered in the Evening 17. Bachelor of Engineering in Electrical/Electronics (Power) 18. Diploma in Electrical Technology 19. Diploma in Electronics Technology 20. Diploma in Industrial Electronics 21. Diploma in Telecommunications 22. Diploma in Construction IV) SCHOOL OF MATHEMATICS AND NATURAL SCIENCES 23. Bachelor of Mathematics & Science Education 24. Bachelor of Science in Computer Science 25. Bachelor of Science 26. Bachelor of Science in Civil Engineering 27. Bachelor of Engineering in Electrical/Electronics Engineering 28. Bachelor of Engineering in Electrical/Mechanical Engineering 29. Bachelor of Engineering in Chemical Engineering 30. Bachelor of Engineering in Environmental Engineering 31. Bachelor of Engineering in Metallurgical Engineering 32. Bachelor of Engineering in Mining Engineering Offered in the Evening 33. Bachelor of Information Technology 34. Diploma in Information Technology Offered by Distance 35 Diploma in Mathematics and Science Teaching 36. Bachelor of Mathematics & Science Education 37. Bachelor of Commerce with Education V) SCHOOL OF MINES AND MINERAL SCIENCES 38. Diploma in Mining Engineering 39. Diploma in Chemical Technology 40. Diploma in Surveying 41. Diploma in Metallurgy 42. Diploma in Mine Ventilation VI) SCHOOL OF NATURAL RESOURCES 43. Bachelor of Science in Forestry 44 Bachelor of Science in Wood Science and Technology 45. Bachelor of Science in Agro forestry 46. Bachelor of Science in Fisheries and Aquaculture 47. Bachelor of Science in Wild Life Biology

(B ARCH) (BSC BLDG) (BSC REAL ESTATE) (BSC URP)

20 22 24 26

(DIP CIVIL. ENG) (DIP. ELECTRICAL) (DIP. ELECTRONICS) (DIP. IND. ELEX) (DIP. TELECOMM.) (BENG ELECT/ELEX) (DIP. ELECTRICAL) (DIP. ELECTRONICS) (DIP. IND. ELEX) (DIP. TELECOMM.) (Dip. CONST)

25 53 55 65 57 74 54 56 66 58 85

(BSC.ED ) (BSC.COMPUTER) (BSC.) (BENG. CIVIL ENG.) (BENG. ELECT/ELEX (BENG. ELECT/MECH.) (BENG. CHEMICAL ENG.) (BENG. ENVIRON. ENG.) (BENG. METALLURGY ENG.) (BENG. MINING ENG.) (BIT) [DIT] (DMS) (BSC.ED ) (B.COM, ED)

45 42 90 90 90 90 90 90 90 90 78 79 73 91 92

(DIP. MINING ENG) (DIP. CHEMICAL) (DIP SURVEYING) (DIP. METALLURGY) (DIP. MINE VENT)

59 51 61 63 67

(BSC FORESTRY) (BSC WSC AND TECH) (BSC AGRO FORESTRY) (BSC FISH. & AQUAC.) (BSC WILDLIFE BIOLOGY)

30 31 32 33 34

VII) DIRECTORATE OF DISTANCE EDUCATION AND OPEN LEARNING Offered in the Evening

48.
49. 50. 51. 52. 53. 54. 55. 56. 57.

Diploma in Business Administration

Diploma in Human Resource Management Diploma in Marketing Bachelor of Arts Human Resource Management Offered by Distance Bachelor of Arts Human Resource Management Bachelor of Business Administration Bachelor of Science in Marketing Bachelor of Accountancy Bachelor of Science in Banking and Finance Bachelor of Science in Purchasing & Supply

(DBA)
(DHRM) (DMK) (BAHRM) (BAHRM) (BBA) (BSC MKT) (BAC) (BSC BANK & FIN) (BSC PURCH & SUPPLY)

70
71 72 75 76 77 80 81 82 83

NATIONALITY/COUNTRY BOTSWANA MALAWIAN RWANDESE UGANDAN 1. 10 19 30 39 ANGOLAN 01 MOZAMBIQUE 21 SOUTH AFRICAN 33 CONGOLESE (DRC) 40 INDIAN NAMIBIAN SWAZI ZAMBIAN 13 22 36 42 LESOTHO 17 ZIMBABWEAN 28 TANZANIAN 37 OTHER 43

OTHER QUALIFICATION CODE CODE 1. 2. 3. CBU OTHER DEGREE CBU DIPLOMA QUALIFICATION 4. 5. 6. OTHER DIPLOMA CBU CERTIFICATE OTHER CERTIFICATE 7. EXCLUDE CBU SCHOOL

2.

APPROVED O AND A LEVEL SUBJECT CODES CODE 001 002 101 102 201 202 203 204 205 207 211 301 304 307 308 311 312 314 315 320 321 410 415 418 419 420 421 422 423 424 425 SUBJECT ENGLISH LANGUAGE LITERATURE IN ENGLISH MATHEMATICS ADDITIONAL MATHEMATICS CHEMISTRY PHYSICS PHYSICAL SCIENCE ENGINEERING SCIENCE AGRICULTURAL SCIENCE BIOLOGY SCIENCE GENERAL SCIENCE COMMERCE FOOD AND NUTRITION HISTORY GEOGRAPHY METAL WORK GEOMETRICAL AND MECHANICAL DRAWING GEOMETRICAL AND BUILDING DRAWING BIBLE KNOWLEDGE/RELIGIOUS EDUCATION PRINCIPLES OF ACCOUNTS LANGUAGE OTHER THAN ENGLISH OTHER SUBJECTS COMPUTER SCIENCE COMBINED SCIENCE HUMAN AND SOCIAL BIOLOGY WOOD WORK ART ZAMBIAN LANGUAGE ECONOMICS BOTANY

3.

SECONDARY SCHOOL CODES Refer to the Official Transcript of Results.