Universitty of Zimba

abwe Adm
missions Office
O
Academic Registry
R
Departm
ment

201
15 Supplem
mentary Ad
dmission Application
A
n Form
al Details
Persona
Surname: ...................................................................................................................................................
First Nam
me: ................................................................................................................................................
A Level Points: ....................................................
What is yo
our choice of programme?
? .....................................................................................................
Cell Numb
ber

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

A LEVEL SUBJECTS
S AND GRAD
DES
Subject

Grade

2
3
4

S AND GRAD
DES
O LEVEL SUBJECTS
Grade
English
Mathemattics

ove information is accura

ate.
I declare that the abo
Signed: ................................................................................................ Date: ............................................

e use only
For Office
d by: ................................................................................... Date: .............................................
Processed

NB. Anyo
one who subm
mits inaccurate
e information will be disqua
alified.