Kabwe College of Health Sciences Application Form

Instructions
1. Complete the online application form
2. Upload your school leaving certificate (or statement of results) or equivalent
3. Upload a scanned copy of your NRC or Passport
4. Applicants should pay a non-refundable application fee of K200 for Zambian applicants and $30 for international applicants.
Note: This application form is not an indication of acceptance into the college
Instructions
1. Complete the form in full
2. Upload your school leaving certificate (or statement of results) or equivalent
3. Upload your NRC and a passport size photo
4. All applicants are required to pay a non-refundable application fee of K200. Please deposit the application fee in one of the bank accounts below. Keep the proof of payment as we will ask for it.
Bank Details
1. STANBIC
  - Bank Name: STANBIC BANK
  - Branch Name: KABWE BRANCH
  - Account Name: KABWE COLLEGE OF HEALTH SCIENCES
  - Account Number: 9130001370026
  - Sort Code: 040922
  - Swift Code: SBICLMXX
2. ZANACO
  - Bank Name: ZANACO BANK
  - Branch Name: KABWE BUSINESS CENTER
  - Account Name: KABWE COLLEGE OF HEALTH SCIENCES
  - Account Number: 5738815500190
  - Sort Code: 010946
  - Swift Code: ZNCOZMLU
Note: *This application form is not an indication of acceptance into the college*

1. Programme Selection
Please select your preferred program*

Diploma in Clinical MedicineDiploma in Environmental HealthDiploma in Registered Nursing*
Note: Prospective Registered Nursing applicants will receive admission to our affiliated college for Nurses, Agape Nursing College.
Intake*

January 2025July 2025

2. Basic Information
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Personal Details
Passport Size Photo*

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Passport Size Photo*
First Name*
Last Name*
Other Names
Date of Birth*

DayMonthYear
Nationality*
Country of Birth*
Nationality*
Country of Birth*
Sex*
Marital Status*
Number of Chidren*
NRC or Passport No*
Number of Children*
Contact Details
City*
Province / State*
Residential Address*
Postal Address
Country*
Postal / Zip Code*
Email*
Mobile*
Address*

3. Education History
Education Background
Education Background*

4. Next of Kin
Next of Kin
Family Members*

5. Sponsor Details
Sponsor Details
Financial Sponsor*

6. Other Details
Additional Details
Allergies
Diet Restrictions
Hobbies
Previous Illness
How did you hear about Kabwe College of Health Sciences*

NewspaperSocial MediaFriends and FamilyRadioAgentsStudent ReferralSchool VisitsOther

7. Supporting Documents
Upload Documents
Please attach the following documents: The uploaded file type needs to be *.jpg,*.jpeg,*.png, or *.pdf. File sizes should not exceed 1MB.
Certified copy of NRC or Passport*

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Certified School Leaving Certificate (or Statement of Results) or it's equivalent*

You can upload a maximum of three documents
Cancelof
Have you paid the application fee?*

YesNo

8. Application Fee

Payment Instructions for Application Fee:

Option 1: Complete Your Payment with Mobile Money!

Amount: 200 ZMW
Payment Options:
- Airtel Money:
  - Pay to Airtel Number: +260970209432 (Emmanuel Kayewa)
How to Pay:
- Go to your Airtel.
- Select the 'Send Payment' option.
- Enter the provided Airtel number.
- Enter the amount (200 ZMW).
- Confirm the transaction with your PIN.
After Payment:
- Please enter the Transaction details in the space provided below.
- This will be used to confirm your payment and complete your enrollment process.

Option 2: Complete Your Payment with a Bank Deposit!

All applicants should pay a non-refundable application fee of K200 for Zambian applicants and $30 for International applicants. Please deposit the application fee in one of the bank accounts below.

BANK NAME	STANBIC	ZANACO
BRANCH NAME	KABWE BRANCH	KABWE BUSINESS CENTER
ACCOUNT NUMBER	9130001370026	5738815500190
SORT CODE	040922	010946
SWIFT CODE	SBICLMXX	ZNCOZMLU
ACCOUNT NAME	KABWE COLLEGE OF HEALTH SCIENCES

Your application will be considered upon confirmation of payment. Thank you for choosing Kabwe College of Health Sciences for your educational journey!

Application fee was paid using?*

Mobile MoneyBank Deposit
Mobile Money Transaction Details
Bank Deposit Slip

Cancelof
Other academic records

Cancelof
Please deposit the application fee of K200 in one of the bank accounts below. Note that this fee is non-refundable.

Bank Details
1. STANBIC
  - Bank Name: STANBIC BANK
  - Branch Name: KABWE BRANCH
  - Account Name: KABWE COLLEGE OF HEALTH SCIENCES
  - Account Number: 9130001370026
  - Sort Code: 040922
  - Swift Code: SBICLMXX
2. ZANACO
  - Bank Name: ZANACO BANK
  - Branch Name: KABWE BUSINESS CENTER
  - Account Name: KABWE COLLEGE OF HEALTH SCIENCES
  - Account Number: 5738815500190
  - Sort Code: 010946
  - Swift Code: ZNCOZMLU

9. Preview and Submit
Preview and Submit
All applicants are required to pay a non-refundable application fee of K200. Please deposit the application fee in one of the bank accounts below. Keep the proof of payment as we will ask for it.

Bank Details
1. STANBIC
  - Bank Name: STANBIC BANK
  - Branch Name: KABWE BRANCH
  - Account Name: KABWE COLLEGE OF HEALTH SCIENCES
  - Account Number: 9130001370026
  - Sort Code: 040922
  - Swift Code: SBICLMXX
2. ZANACO
  - Bank Name: ZANACO BANK
  - Branch Name: KABWE BUSINESS CENTER
  - Account Name: KABWE COLLEGE OF HEALTH SCIENCES
  - Account Number: 5738815500190
  - Sort Code: 010946
  - Swift Code: ZNCOZMLU
Note: Submitting document will not require you to pay the fee immediately. The fee can
Declaration*

I declare that all information provided is correct and understand that false, inaccurate or misleading information will result in the students withdrawal from school.
Complete the Captcha below*
Should be Empty:

Instructions

Instructions

Personal Details

Contact Details

Education Background

Next of Kin

Sponsor Details

Additional Details

Upload Documents

Payment Instructions for Application Fee:

Option 1: Complete Your Payment with Mobile Money!

Option 2: Complete Your Payment with a Bank Deposit!

Preview and Submit