EduRole Student Information System

Application form for new students

You are requesting admission to the following programme: Zambia Institute of Marketing
Please complete the following form entirely to successfully complete your application.
Click on the steps below to continue.

Applicants are required to deposit a non-refundable application fee of K150 into the bank account provided below.
Please ensure that the student's full name appears on the deposit slip. This deposit slip should should be uploaded in the specified field in the form below.

BANK: ABSA BANK

Account Name: ZIBSIP

Account Number: 0092424650

ALL PAYMENTS RELATING TO EVENING AND OPEN DISTANCE LEARNING SHOULD BE DEPOSITED IN THE FOLLOWING ACCOUNT:

BANK: ABSA BANK(CITY SQUARE)

Account Name: ZIBSIP EXT./ODL

Account Number: 0091429497

1 - General information

In this section you will provide basic information needed for your enrolment.

Information	Input fields	Description
1.2 - Intake for Application		Select the intake you are applying for.
1.3 - National Registration Number		Please enter the ID number provided on your national identification card or passport
1.4 - NRC file		Attach your National Registration Card
1.5 - Surname		Your family name
1.6 - First Name		Your given name
1.7 - Middle name		Optional
1.8 - Sex (Gender)
1.9 - Date of Birth		Minimum age for applicants is 16 years
1.10 - Nationality
1.11 - Streetname and number		For example: Munkoyo Street 1583
1.12 - P.O Box		For example: 804040
1.13 - City/Town
1.14 - Phone Number		For example: 0978168860
1.15 - Email Address		Optional (Yahoo, Hotmail, Gmail, etc)
1.16 - Country
1.17 - Disability
1.18 - Marital Status
1.19 - Scan/Photo of Deposit Slip		Deposit an application fee of ZMW150.00, upload the proof of payment. Note that your application will not be processed unless a proof of payment is attached

2 - School certificate examination results

Grade code	Grade code	Grade code
English	Mathematics	Accounts
Principles of Accounting	Additional Mathematics	Agriculture Science
Agriculture	Art	Bemba
Biology	Business Studies	Chemistry
Chinyanja/ Nyanja	Chitonga/ Tonga	Civic Education
Civics	Commerce	Computers
Computer Science	Design and Technology	Development Studies
Economics	English 2nd Language	Food and Nutrition
French	Geometry and Mechanical Drawing	Geography
General Science	History	Home management
Information Communication Technology (ICT)	Literature in English	Lozi
Lunda	Luvale	Metal Work
Music	Natural Economics	Physical Education
Physical Science	Physics	Portuguese
Religious Education (RE)	Science	Wood work

3 - Education background and Personal documents

4 - Next of kin information

5 - Sponsors information

6 - Second and third program choices

This is the final part of your admission request, here you will need to select your second and third choice program choices, should you not get picked for your main program.

Information	Selection
6.1 - Second Choice:
6.2 - Third Choice:

7 - Submit your application

Information	Input fields	REMOVE RECORD
0 3.1 - Type of certificate
1 3.2 - Name of institution or Document		For example: Evelyn Hone
2 3.3 - Name of certification or Document		For example: Grade 12,or Diploma in Business Studies
Scan of document		Upload the certificate, degree or diploma.

Information	Input fields	REMOVE RECORD
4.1 - Full Name
4.2 - Relationship
4.3 - Phone Number
4.4 - Email
4.5 - Address
4.6 - Town

Information	Input fields	REMOVE RECORD
5.1 - Full Name
5.2 - Sponsorship
5.3 - Phone Number
5.4 - Email
5.5 - Address
5.6 - Town