Student Registration

jule@cazambia.com

D28 Kasangula – Lusaka

Mon-Fri 9 am To 5 pm

First Name *

Last Name *

Other Name(s)

Gender *

Date of Birth *

Nationality *

NRC Number

Passport Number

Email Address *

Phone Number *

WhatsApp Number

Postal Address

Residential Address

Town/City

Country

Passport Photo

ID Upload (NRC or Passport)

Full Name

Phone Number

Email Address

Residential Address

Entry Route *

Mode of Study *

Programme *

Educational Qualifications

Name of Institution

Length of Course

Date Qualification Awarded

Upload Qualification Document

How did you hear about us?