🎓 Student Admission Application

📌 Ready to take the first step toward a brighter future?

Complete the online application form below to begin your journey with Jerlusi College. Our admissions team will guide you every step of the way.

Alternatively, you can download the application form here.

💬 Need Help?
Contact our Admissions team at:
📧 admissions@jerlusicollege.com
📞 +260 976 204 822

🎓 Online Admission Application Form

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📄 Personal Information

Full Name

First

Middle

Last

Date of Birth

Gender

Email ID

Phone Number

WhatsApp Number

Nationality

Residential Address

Address Line 1

City

State / Province / Region

Country

Next of Kin

Name

First

Middle

Last

Relationship to Applicant

Phone Number

Residential Address

Address Line 1

City

State / Province / Region

Country

Nationality

Gender

🏫 Program Details

Level of Entry

School of Choice

Preferred Mode of Study

Preferred Intake

🏆 Education Background

Highest Qualification Obtained

Highest Institution Attended

Year of Graduation

✍️ Personal Statement

Tell us why you want to join Jerlusi College and what makes you a great fit.

✅ Declaration and Submission

1. I understand that this application is for admission purposes.
2. I agree that I am bound by the College's regulations concerning application deadlines and admission requirements.
3. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application will result in denial of admission and nullification of my application.
4. If admitted, I agree to abide by the policies, rules and regulations of Jerlusi College.
5. Should any information change prior to my entry into the College, I will notify the Office of Admissions.
6. I understand that I am required to pay Application Fee in order for my application to be considered and that this fee non-refundable.

Do you agree?

Yes, I understand and agree to the terms and conditions listed above.