NM-AIST

The Nelson Mandela

African Institute of Science and Technology (NM-AIST)

2.1 Application Information FORM NM-A101
Intended Degree Programme
Programme/Specialty to which admission is sought.
Mode of Study

As evidence of payment of application fee, please enter the transaction number as shown in the CRDB pay-in slip. (You must first pay application fee before starting your application)

2.2 Personal Data
Title
Surname
First Name
Middle Names (in full)
Birth date (click to get calendar)
Gender and Marital Status
Nationality

2.3 Contact Information
Country of Origin Town/City
Street Code/P.O. Box
Phone (start with country code) E-mail Address (s)    

2.4 Recommendations (Please submit particulars of TWO persons who you have asked to provide reference letters)
Name Name
Position Position
University University
E-mail E-mail

2.5 Sponsorship
  Name and Contact Address of Sponsor (If available)
Sponsorship Full Name:
If other specify

Address:
Landline/Mobile:
    Email:

3.1 Certification of Employment and Grant of Study Leave
If employed , please specify the organization you are working in.
Are you employed?


Organization: Position/Title:
Postal address:
Landline/mobile no:
Email: