STUDENT APPLICATION FORM
1. Surname: …...……………………….………………………… 2. First names: …………………………………..…………………………
This Application Form may be photocopied
Northern Technical College
3. N.R.C. NO: …………………………..………………………….. 4. Nationality: ……………...………………………………..………………..
5. Date of Birth: ……..…………………………………………….. 6. Sex: ………….…………………...……………………………….………..
7. Residential Address: ……………………………………………………………………………………………………………………………….
Ward …………………………………………………………….. Constituency ………………………………………..…………………………
District ………………………………………………………….. Province ………………………………………………………………………..
8. Tel/Cell No.: …………………………… 9. E-Mail: ……..……………………………………………………………………………….…….
10. Course: 1st Choice: …………..………………………………………………………………………………………………..………………….
2nd Choice: ……………….………………………………………………………………………………………………..…………….
11. Intake (Tick where applicable):
May
September
January
12. Secondary School attended:…………….…………………………………………………………………….……………….…
13. School Certificate Examination Results (Attach Certified Photocopy)
SUBJECT
GRADE
SUBJECT
GRADE
14. Year of completion: ………………..
SUBJECT
GRADE
i.
Mathematics
………..
viii. Agric. Science
………..
xv.
Commerce
…….
ii.
Physics
………..
ix. Biology
………..
xvi.
Art
…….
iii.
Chemistry
………..
x.
…….…
xvii Homecraft/Cookery
…….
iv.
Science
………..
xi. History
xviii. French
…….
v.
English Language
………..
xii. Metal Work
xix.
Zambian Language
…….
vi.
General Science
………..
xiii. Technical Drawing ……….
xx.
Religious Education
…….
vii.
Physical Science
………..
xiv. Principles of Accounts…….
xxi.
Other
……..
Geography
………..
………
15. Previous Institution(s) attended (if any):……………………………………… : From:………………….. To: …………………….
16. Qualification obtained (attach copy): …………. ……………………………………………………………………….………………………
17. Are you disabled? Yes/No. (If YES, specify nature of disability):
………………………………………………………….…..………
18. Sponsor’s Details: …………………………………………………………….
Phone: …………………………………………………
19. Guardian Details: …………………………………………………………….
Phone: ………………………………………………….
18. Applicant’s Signature: …………………………………………….…………
19. Date: …………………………………………………
20. How did you hear about these programs (Tick) 1. Radio 2. Facebook 3. Word of Mouth 4. Enrolment Campaigns
___________________________________________________________________________________________________________
21. FOR OFFICIAL USE ONLY
Ref No.
Payment
Receipt No.
Date paid
Date Stamp
Cash
Postal order
ENTRY REQUIREMENTS
NO
COURSE
1
Trade Certificate –Level III

2
Trade Certificate - Level II


3
Trade Certificate - Level I


ENRTY REQUIREMENTS
A minimum of Grade 7 School Certificate
A minimum of Grade 9 School Certificate
A minimum of Level III Trade certificate in
Automotive Engineering
Grade 12 GCE with at least a pass in
mathematics or science/physics/chemistry
science
A minimum of level II Trade certificate in
automotive engineering
Grade 12 School Certificate with a minimum
of passes in English
language,Mathematics,Science and any
other two (2) subjects
4
Craft Certificate courses

5
Advanced Certificate Programmes

Grade 12 School Certificate with a minimum
of credits in English
language,Mathematics,Science and any
other two (2) subjects
6
Diploma courses

Grade 12 School Certificate with a minimum
of credits in English
language,Mathematics,Science and any
other two (2) subjects
Application Procedures
A non-refundable Application Fee of ZMW 200.00
The applicant should deposit the application fee in the following College Account:
Zambia National Commercial Bank, Bill Muster Account No. 1560413300151;
the Application Form should be submitted with the original deposit slip by the applicant;
or sent by Express Mail Service (Post Office) to the address below;
The Student Affairs Officer
Northern Technical College
Chela Road
P.O. Box 250093
NDOLA
Or e-mailed to: principal@nortec.edu.zm
copied to:
students.affairs@nortec.edu.zm
For Further details contact us on;
Mobile Phone: +260 977 555467 - Student Affairs Office
+260 764 230140 - Business Development Office