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UNIVERSITYOFZIMBABWE

2015WINTERSCHOOL APPLICATIONFORMUZSTUDENTS

1. FOR OFFICIAL USE ONLY 1.1 DATE OF RECEIPT 1.2 RECEIPT NO. 1.3 AMOUNT

2, PERSONAL DATA. 2.1 SURNAME(S) 2.2 FORENAME(S) 2.3 SEX: Male (M); Female (F)

*2.5 CONTACT DETAILS

TELEPHONE NUMBERS: Cellphone: ............................................................................................................. E-mail:.................................................................................................................... *N.B. The University will contact you using the above information.

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3. IMPORTANT NOTES TO ALL APPLICANTS

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

3.2 The closing date for receipt of applications for admission is 19 June 2015.

4. Fees Humanities : $100 per course (Faculties of Arts, Commerce, Education, Law and Social Studies) Natural Sciences : $120 per course (Faculties of Agriculture, Engineering and Science) Life Sciences : $100 for Communication Skills course (College of Health Sciences and Faculty of Veterinary Science) Registration Fee : $20 Accommodation : Accommodation is available at $200 full board per room for the seven weeks.

5 .PROGRAMME BEING STUDIED.................................................................................................................. 5.1 REG NUMBER............................................................................................................................................ 5.2 COURSES SELECTED 1. 2. 3. 6. DO YOU WANT TO BE CONSIDERED FOR ACCOMMODATION SIGNATURE OF APPLICANT .................................................................................... DATE

NB: REGISTRATION IS ON 22-23 JUNE 2015 & LECTURES START AFTER REGISTRATION

CODE NARRATION

YES NO