ATTACH PHOTO
CODE : EU
Opposite Shayona Cement-Lilongwe Campus, P.O Box 31507 Lilongwe
Kenyatta drive Opposite Njamba Secondary School-Blantyre Campus
Cell: ( 265) 998 955 220-Lilongwe
:( 265) 888 232 760 / 995 811 776- Blantyre
Email: info@[Link]/admissions@[Link]
STUDENT APPLICATION FORM
Please fill this form in CAPITAL letters, using black ink only.
Complete this Application Form, with a non-refundable application fee of K5, 500 to be deposited into one of the University’s bank account.
1. Personal Details
Surname: Kandiado FirstNames : Steven
Other Names :
Gender : Male Female Date of Birth : 24 may 2003
Nationality : Malawi
Postal Address :
Contact Number : 0986362036
Email Address : Stevenkandiado@[Link]
2. Program of Study
Mode of Entry Normal Entry : Yes Mature Entry :
Mode of Study Weekday : Weekend :
ODL : Evening :
Diploma in Management Studies (DIP) Master of Accounting And Auditing
Bachelor of Accountancy (BAC) Master of Human Resource Mgt
Bachelor of Business Administration (BBA) Master of Business Administration
Bachelor of Human Resource Management (HRM) Master of Supply chain mgt
Bachelor of Arts Logistics and Supply Chain Mgt (LSM) PhD in Business Administration
Bachelor of Arts in Community Development (BCD)
Bachelor of Science in Information Technology (BIT)
Bachelor of Arts Health Systems Management (HSM)
3. Academic Qualifications
Please list down and attach Copies of all the academic qualifications that you have acquired since Secondary Education
Course / Award Institution Country Year Started Year Completed
4. Employment Record
Name of Employer Duration
Position (s) Held
(Please start with your most recent employer) From To
5. Sponsor Information
Please tick where appropriate Company/Organization Parent/Guardian
Self Sponsorship Details
Sponsor/Parent/Guardian
Organisation/Company
Surname : FirstNames :
Relationship :
Address :
Mobile Number :
Email :
Parent’s/legal custodian’s signature:
6. Family Doctor
Name Date
Clinic
Address
Mobile
Email
7. How did you hear about Exploits University?
Please tick where appropriate
Local Newspaper Relatives Facebook Radio (Specify)
Television Friend Twitter Other (Specify)
Referral :
8. Students Declaration
Registration Fee Package = K 45, 000.00
Diploma = K 275, 000.00
Bachelor's Degree = K 400, 000.00
Masters = K 900, 000.00
PhD = K 1, 500, 000.00
Mode of Payment : 25% of tution fees must be paid upon start of attending classes, thereafter the remaining 75% to be paid in two halves
within the semester.
ALL PAYMENTS FOR UNDER GRADUATE PROGRAMMES TO BE DONE AT NATIONAL BANK ACC: 278181 FOR LILONGWE CAMPUS WHILE
FHD BANK ACC : 1400000214517 FOR BLANTYRE CAMPUS
Students who withdraw from the university may be entitled to a refund and determined by the method of [Link] Refund
Policy is as follows:
Prior to first day of semester = 100% 16th day to 25th day = 25%
1st day to 5th day = 75% 26th day of the semester = No refund
6th day to 15th day = 50%
9. Students Declaration
I declare that the above information is correct to the best of my knowledge. I understand that if at any time the information I provided about my
educational qualifications and job experience is found to be incorrect or misrepresented, the university has the right to expel me from the program at
any time. I further understand that if my application is rejected, the application processing fee is not refundable.
I understand that submitted documents supporting this application become the property of the University and will not be returned to me.
Applicant’s signature :
Date :
FOR OFFICIAL USE ONLY
DATE APPLICATION REVIWIED BY THE UNIVERSITY ADMISSION COMMITTEE
DATE APPROVED
STUDENT NO
SIGNED
Registrar SECRETARY