University of Zimbabwe Student Registration

FILL IN YOUR PERSONAL DETAILS BELOW Intake Applied For

Application Year

Application Type

Applicant Type

Surname(s)

Previous Surname (Leave blank if not applicable)

Forename(s)

Date of birth*--

Title

Gender

Marital Status

City/town Of Birth

Other Place Of Birth (Leave blank if not applicable)

*NB: Foreign students may provide passport numbers instead of ID numbers

***National ID Format: 07-167573P04 (No spaces)

I D Number(Leave blank if not applicable)

Passport Number(Leave blank if not applicable)

Race

Religion

Country of Origin*

Are you a permanent resident of Zimbabwe(YES/NO)*

Citizenship*

Country Of Residence ( If Not Zimbabwe)

Disability*

Address*

*NB: Foreign students choose other for city and fill in city name in other city field

City*

Other City (Leave blank if not applicable)

Next Of Kin Fullname

Next Of Kin's Phone Number:

Applicant's Mobile Number:

Email Address

Sponsors*

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