Chalimbana Local Government Training Institute
(Master's Degree Application Form)
Name
*
First Name
Last Name
E-mail
*
example@example.com
Date of Birth
*
DD/MM/YYYY
Chalimbana Local Government Training Institute
Phone Number
*
-
+260
Phone Number
Gender
*
Please Select
Male
Female
Marital Status
*
Please Select
Single
Married
Divorced
NRC Number
*
Postal Address
Residential Address
*
University/Institutions Attended. (Give dates.)
*
Bachelors Degree, Grade 12 etc
Name, Address and Telephone Number(s) of next of Kin
*
Do you have any physical or communication disabilities? if yes please tick.
Vision
Mobility
Speech
Hearing
Other
Which Programme are you applying for?
Masters of Art in Local Government Finance
Masters of Art in Local Government Administration
Masters of Art in Governance and Development
Fill in this part if you are presently employed. (Type of employment, name of employer, address of employer and period of service.)
Upload Proof of Payment (K200 Application Fee)
*
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Cancel
of
Upload the following: 1. NRC/Passport 2. Grade 12 certificates 3. Bachelors Degree Certificate and any other relevant documents
*
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of
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