University Online Application – Elpalet University

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Whatsapp +260 761 426 195
Lilayi Road, Plot No. 15285/M, Lilayi, Lusaka

+260 979 093 292 / +260 961 545 685
admin@elpaletuniversity.com

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Elpalet University Online Application Form

Please use the below Application Form to start your online application process with Elpalet University.

Instructions:

1. State your name(s) as they appear in your Passport/National ID.
2. Make sure you enter a valid Email Address and Mobile No.
3. Minimum and Maximum character limit for password is 6 and 10 respectively.
4. After Saving the form a link will be sent to your registered email that will allow you to log into the portal and continue your application process.
5. For the Application Process Stage, Your Email Address will be your login ID.
6. You will be required to pay the Application fee for your application to be processed.

First Name

Middle Name

Last Name

Email Address

Phone Number

Preferred Password

Repeat Password

Select Campus

Have You Ever Been Registered at Elpalet University

Nationality

Country of Residency

National ID Number

Date of Birth

Gender

Male Female

Marital Status

Residential/Postal Address

Program Choice

First Choice Study Program

Second Choice Study Program

Third Choice Study Program

Education History and Certificate Uploads

School Attended

Level

Attended From

Attended To

Level

National ID Scan

Birth Certificate Scan

Junior Level Certificate

Senior Level Certificate

Declaration

1. I have read and understood the contents of this application. I declare that to the best of my knowledge and belief, the above information is correct and that should the information be found incorrect and misleading, my application may be invalidated. 2. If l am a minor, my admission to the University is subject to consent of my parent/ guardian. 3. I undertake to abide by the rules of the University. 4. I hold myself responsible for the payment of all fees and other charges due and payable by me to the University for both first and second semesters of each year as prescribed in the University’s Terms of Payment. If l am in arrears, l will be liable to pay interest at the rate determined by the University from time to time from due date until date of payment. I will be liable for all costs of recovery, including fees charged by attorneys on the scale as attorney and client and collection commission. I understand that payments received will be allocated to clear unpaid interest first, then the debt. If l inform the Registrar in writing by the date prescribed in the rules of the University that l do not propose to return for the second semester I will not have to pay the second semester fees. I have read and understood the rules on fees and fee payments as applicable. 5. I hereby waive all claims against the University of any damages or loss suffered while l am, or as a consequence of my being, a student of the University and arising out of death, bodily injury, loss of health or illness suffered by me or any other person and loss or destruction of, or damage to any property belonging to me or any other person, howsoever such damage or loss is caused, including but not limited through the negligence of the University or any official, employee or representative of the University. I or my estate hereby indemnifies the University against any claims by any person arising in any way as stated above in respect of my own negligent or willful acts or omissions.

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Whatsapp +260 761 426 195
Lilayi Road, Plot No. 15285/M, Lilayi, Lusaka

+260 979 093 292 / +260 961 545 685
admin@elpaletuniversity.com

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