EduRole Student Information System

MULUNGUSHI UNIVERSITY

UNIVERSITY INFORMATION SYSTEM

Application form for new students

You are requesting admission to the following programme: Moodle With Zoom Integration
Please complete the following form entirely to successfully complete your application.
Click on the steps below to continue.

1 - Student Details

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

Information	Input fields	Description
1.2 - National Registration Number		Please enter the ID number provided on your national identification card or passport
Scan of document		Upload the NRC/Passort.
1.3 - Surname		Your family name
1.4 - First Name		Your given name
1.5 - Middle name		Optional
1.6 - Sex (Gender)
1.7 - Date of Birth
1.8 - Nationality
1.9 - Residential Address		For example: Munkoyo Street 1583
1.10 - P.O Box		For example: 804040
1.11 - City/Town
1.12 - Phone Number		For example: 0978168860
1.13 - Email Address		Optional (Yahoo, Hotmail, Gmail, etc)
1.14 - Country
1.15 - Disability
1.16 - Marital Status
1.17 - Study Delivery Mode
1.17 Please select the examination center location from which you will be taking your examination
Scan of Deposit Slip		Upload the proof of payment.

Click on the button to submit the form. This will save your current progress and allow you to log in and finish the application process at a later time. If you wish to finish the application now then do not click this button but instead proceed to step 2

2 - Sponsor Information

3 - Alternative Program Selection

This is the final part of your application. Select two more programs you would like to be considered for in case your first choice is not available.

Information	Selection
3.1 - Second choice:
3.2 - Third choice:

4 - Submit updated information

Information	Input fields	REMOVE RECORD
2.1 - Full Name
2.2 - Relationship
2.3 - Phone Number
2.4 - Street
2.5 - Town
2.6 - Postalcode