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2023 Exemptions Form

This document is an exemptions request form for the University of Lusaka. It provides instructions for students to fill out to request course exemptions based on prior qualifications. The form requests student information like name, program, student number and contact details. It also has a section for officials to list courses that are exempted and space for signatures and approval notes.

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46 views

2023 Exemptions Form

This document is an exemptions request form for the University of Lusaka. It provides instructions for students to fill out to request course exemptions based on prior qualifications. The form requests student information like name, program, student number and contact details. It also has a section for officials to list courses that are exempted and space for signatures and approval notes.

Uploaded by

Thee
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ADMISSIONS OFFICE:

University P.O. Box 36711, Lusaka, Zambia.


Phone: +260 211 258 409/505 | Cell: +260 976 075 850
of Lusaka Customer Service/WhatsApp: +260976200094
Email: [email protected] Website: www.unilus.ac.zm

EXEMPTIONS REQUEST FORM

OFFCIAL USE ONLY RECEIPT No.______________


INSTRUCTIONS
• Please read through the form carefully before filling it in.
• Provide information where appropriate.
• Please write in block letters and mark with an “X“ where appropriate e.g. [x]
Note: All certificates submitted will be re-verified with the Examination Council of Zambia

STUDENT INFORMATION
*Please fill in your names as they appear on your NRC/Passport

Surname:.............................................................................................................................................

Programme:.......................................................................................................................................................................

Student Number:...............................................................................................................................................................

TRANSCRIPT/STATEMENT OF RESULTS ATTACHED: YES [ ] NO [ ]

CONTACT DETAILS

Phone Number:................................................................ Alternative Number:..............................................................

Email Address:..................................................................................................................................................................

Postal Address:................................................................................................................................................................

OFFICIAL USE ONLY


COURSES EXEMPTED

1.___________________________________________ 2._______________________________________________

3.___________________________________________ 4._______________________________________________

5.___________________________________________ 6._______________________________________________

7.___________________________________________ 8._______________________________________________

9.___________________________________________ 10.______________________________________________

11.__________________________________________ 12.______________________________________________

13.__________________________________________ 14.______________________________________________

15.__________________________________________ 16.______________________________________________

RECEIVED BY:________________________________ PROCESSED BY:________________________________

APPROVED:__________________________________ COMMENT:_____________________________________

DATE:_______________________________________ DATE:_________________________________________

Passion For Quality Education: Our Driving Force

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