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    3. IMPORTANT NOTES TO ALL APPLICANTS

    3.1. All applicants must complete all sections of the application form carefully and legibly. If the University discovers thatany information submitted by the applicant is false, it will reject that application and may refer the matter for legalaction.

    3.2. All applicants must endorse at the bottom of this page that they have understood the notes given below and that

    they agree to their application being considered under the conditions outlined below.

    3.3. Students who wrote A level examinations should ensure that the correct centre and candidate numbers areinserted on page 3 of this application form.

    3.4. Applicants should submit this form to the Admissions Office, P O Box MP 167, Mount Pleasant, Harare, Zimbabwe.

    3.5. The closing date for receipt of applications for admission is as advised in the published advert.

    3.6 Application fee is $50 non-refundable and $70 for late applications non-refundable.

    3.7. All applicants MUST submit, with this form, photocopies (NOT originals)of all qualifications/certificates referred toin the application including birth certificates and I.D. cards. The copies of certificates must be certified by aCommissioner of Oaths or Head/Principal of the institution at which the examinations were taken.

    *2.17 ADDRESS

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

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

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

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

    TELEPHONE NUMBERS: Home: .............................................................................................................................

    Cellphone: ......................................................................................................................

    EMAIL ADDRESS: ...................................................................................................................................................................

    *N.B. All correspondence will be forwarded to the above address.

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    4. SCHOOL EXAMINATION RESULTS(List in chronological order, ALLsubjects taken and results, including failures, and attach certified copies of certificates)

    LEVEL(e.g. O, M, A, CSC, etc.) SUBJECT

    RESULT/GRADE

    EXAMINING BODY(e.g. ZIMSEC, Cambridge)

    DATE

    YearMonth

    O

    O

    English Language

    Mathematics

    5. PROGRAMME AND SUBJECT CHOICE

    NB. Subject choice is available for only HAG, BAA and HEN.

    5.1 First Preference: Degree Programme .............................................. ..................................................................................................

    1

    2

    3

    5.2 Second Preference: Degree Programme......................................... .............................................. ....................................................

    1

    2

    3

    5.3 Third Preference: Degree Programme .............................................. .................................................................................................

    1

    2

    3

    A

    ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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    Any applicant who falsifies or submits fake examination results will face prosecution and automatic disqualification.

    Subjects

    (if applicable)

    Subjects

    (if applicable)

    Subjects

    (if applicable)

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    6. SCHOOLS ATTENDED(or College or Polytechnic at which school-leaving examinations were taken)

    6.1 PRESENT SCHOOL OR LAST SCHOOL ATTENDED .................................................................................................

    (If outside Zimbabwe, indicate country) (Name) ............................................................................................................

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

    PERIOD OF ATTENDANCE: START YEAR (e.g. 01)

    END YEAR (e.g. 02)

    7. PROSPECTIVE SPONSOR(S)

    (e.g. Self; Government; or other organization: Please state name)

    ARE YOU A UNIVERSITY STAFF DEPENDANT (i.e. wife, husband or child)? Yes/No (delete the inapplicable)

    ARE YOU A UNIVERSITY STAFF MEMBER? Yes/No

    IF YES PLEASE GIVE NAME, DEPARTMENT AND TELEPHONE EXTENSION OF STAFF MEMBER

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

    8. CHECKLIST

    8.1 HAVE YOU COMPLETED PAGES 1, 2, 3 and 4 (Delete the inapplicable) YES/NO

    8.2 HAVE YOU SIGNED THE FORM? YES/NO

    8.3 HAVE YOU PAID THE APPROPRIATE APPLICATION FEE? YES/NO

    8.4 HAVE YOU FILLED IN YOUR CORRECT DATE OF BIRTH? YES/NO

    8.5 HAVE YOU ENCLOSED A CERTIFIED COPY OF YOUR

    (i) BIRTH CERTIFICATE? YES/NO(ii) NATIONAL IDENTITY CARD? YES/NO

    (iii) O LEVEL CERTIFICATE? YES/NO

    (iv) A LEVEL CERTIFICATE (if you have any June results) YES/NO

    (v) OTHER CERTIFICATE(S) (Specify)? YES/NO

    NB: IF YOUR ANSWER TO ANY OF THE ABOVE QUESTIONS IS NO, PLEASE EXPLAIN: ..................................................

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

    I DECLARE THAT THE INFORMATION I HAVE GIVEN IS CORRECT, AND THAT SHOULD IT BE FOUND TO BE

    FALSE MY APPLICATION WILL BE DISQUALIFIED AND I WILL FACE LEGAL ACTION.

    SIGNATURE OF APPLICANT ..................................................................................... DATE

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    N/A

    N/A

    N/A

    N/A

    N/A

    N/A

    N/A

    N/AN/A

    OLevels

    includingC

    hemistry,Biology,Physics,Maths

    ALevels

    Chemistry(compulsory)andanytwoof

    Biology,PhysicsorMath

    s

    OLevels

    includingC

    hemistry,Biology,Physics,Maths

    3ALevels

    Chemistry(compulsory)andanytwoof

    Biology,PhysicsandMa

    ths

    OLevels

    includingC

    hemistry,Biology,Physics,Maths

    ALevels

    Chemistry(compulsory)andanytwoof

    Biology,PhysicsorMath

    s

    OLevelMaths,Biology,Chemistry,EnglishLanguageand

    Physics

    2ALevelsincludingas

    ciencesubject,preferablyBiology

    witha

    Corbetter

    OLevelMaths,Biology,Chemistry,EnglishLanguageand

    Physics

    2ALevelsincludingas

    ciencesubject

    preferably

    Biology

    Corbetter

    OLevelMaths&

    ALevelpassesinChemistry(compulsory),

    andanytwoofBiology,MathsandPhysics.

    Atleast2

    AlevelsinBiology,Chemistry,MathsorPhysics

    OLevelMathsandatleast2

    ALevelpassesinBiology,

    Chemistry,MathsorPhy

    sics.

    2ALevelpassesinBio

    logy,Chemistry,MathsorPhysics

    OLevelMaths.TwoA

    LevelpassesinanyofBiology,

    Physics,Chemistry,MathsandGeography.N.B.:One

    A

    LevelsubjecttobeanexperimentalScience,e.g.Biology,

    ChemistryorPhysics.

    ALevelspassesinPhysicsandMaths(compulsory)anda

    passinanyothersciencesubject

    ALevelChemistry(com

    pulsory)plusanytwoofBiology,

    Maths,PhysicsorGeography

    5 5 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

    15

    14

    12

    10

    13

    13

    12

    11

    9

    7

    12

    11

    6

    6

    8

    7

    12

    11

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    3

    6

    6

    6

    6

    SPECIALREQUIREMENTS

    SUBJECTSAND

    OPTIONSAVAILABLE

    D

    URATION

    (Years)

    Cut-off

    Points

    BMedicineandSurgery(MBChB)

    BDentalSurgery(BDS)

    BPharmacyHons.(HPM)

    BScPhysiotherapyHons.(HPT)

    BScOccupationalTherapyHons(HOT)

    BScinMedicalLab.Sciences(HBMLS);

    BScNursingScience(BScNS)

    BScHealthEducationandHealth

    Promotion(HEHP)

    BScHons.inRadiography(Diagnosis)

    (HRD)

    BScBiochemistryHons(BCH)

    BScBiologicalSciencesHons(BZH)

    BScCheminstryHons(CHH)

    BScComputerScienceHons(CTH)

    BScHonsGeography&Environmental

    Science(HGGENV)

    BScGeographyHonsinHuman

    Environment(HGGH)

    BScHonsinGeographicalBiogeoscien

    ces

    (HGGB)

    BScHonsinGeographicalInformation

    Sciences&EarthObservation(HGGIS)

    BScGeologyHons(GLH)

    BScMathematicsHons(MTH)

    BScMeteorologyHons(HMET

    BScPhysicsHons(PHH)

    BScStatisticsHons(STSH)

    BScFoodTechnologyHons(BSCFS)

    BScNutritionScienceHons(HNS)

    DEGREEPROGRAMME

    (andabbreviation)

    FACULTY

    COLLEGEOF

    HEALTH

    SCIENCES

    SCIENCE

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    N/A

    N/A

    OLevelMathswithaB

    orbetter

    OLevelpassesinMathsandaSciencesubject

    BsymbolinEnglishLanguageat

    OLevelpreferred

    OLevelMathsessentialplus2

    ALevelpassesinanytwo

    ofthefollowing:Geography,Economics,Chemistry,Maths,

    Physics,SociologyandBiology.

    Agoodpassin

    OLevelEnglishLanguageandMaths

    ALevelsinanyofthefollowing:Geography,MOB,Maths,

    Accounts,Economics,Law,StatisticsandT.Graphics

    5OLevelpassesincludingEnglishLanguageandatleast

    2ALevelpasses

    Agoodpassin

    OLevelMaths

    Apassin

    OLevelEnglish

    3ALevels

    ChemistryandBiology(compulsory)andany

    oneofMathsorPhysics.

    3 3 3 4 4 4 3 3 5

    10

    10

    11

    10

    12

    12

    11

    11

    13

    11

    14

    13

    12

    11

    11

    10

    10

    10

    BScHons.Economics(HEC)

    BScHons.Psychology(HPS)

    BScHons.Sociology(HSO)

    BScHons.Rural&UrbanPlanning(HR

    UP)

    BScHons.RealEstateManagement

    (HREM)

    BScHons.SocialWork(HSW)

    BScHons.Administration(HAD)

    BScHons.PoliticalScience(HPOS)

    BVeterinaryScience(BVSc)

    SPECIALREQUIREME

    NTS

    SUBJECTSAND

    OPTIONSAVAI

    LABLE

    DURATION

    (Years)

    Cut-off

    Points

    DEGREEPROGRAMME

    (andabbreviation)

    FACULTY

    SOCIAL

    STUDIES

    VETERINARY

    SCIENCE