You are requesting admission to the following programme: Bachelor of Science in Mathematics,Physics AND Chemistry with Education
Please complete the following form entirely to successfully complete your application. Click on the steps below to continue.

In this section you will need to provide records of your previously followed education (secondary education and up), you can use the Add button below this section to add more then one record, please enter as many records as needed.

Information	Input fields	REMOVE RECORD
0 3.1 - Type of certificate	Secondary school certificate Certificate Advanced Certificate Diploma Advanced Diploma Degree Masters Degree Post Doctorate Professional certification
1 3.2 - Name of institution		For example: Evelyn Hone
2 3.3 - Name of certification		For example: Grade 12, or Diploma in Business Studies
Scan of document		Upload the certificate, degree or diploma.

Add another education record

In this section you can provide contact information that should be used in case of an emergency, in general this should be a family member or legal guardian. Use the add button to add as many emergency contacts as you wish.

Information	Input fields	REMOVE RECORD
4.1 - Full Name
4.2 - Relationship	SELECT RELATIONSHIP Spouse Parent Legal Guardian Uncle Son Daughter Grandparent Aunt Cousin Sibling
4.3 - Phone Number
4.4 - Email
4.5 - Address
4.6 - Town

Add another emergency contact

In this section you must provide contact information for your sponsor, if you are self sponsored please indicate this.

Information	Input fields	REMOVE RECORD
5.1 - Full Name
5.2 - Sponsorship	Self Sponsored Spouse Parent Legal Guardian Religious Organization NGO Government Employer Other Family Member Trust
5.3 - Phone Number
5.4 - Email
5.5 - Address
5.6 - Town

Add another sponsor