SECTION 1: PURPOSED COURSE OF STUDY (upon successful completion of CUW bridging courses)

Course of study for which you wish to enroll:
First Choice
—Please choose an option—Bachelor's Degree in Computer Science with Specialization in Computer and Digital ForensicsBachelor's Degree in Computer Science with specialization in CybersecurityBachelor's Degree in Computer Science with specialization in Data AnalyticsBachelor's Degree in Computer Science with specialization in Data ScienceBachelor's Degree in Computer Science with specialization in Software DevelopmentBachelor's Degree in Business Administration with Specialization in Business AnalyticsBachelor's Degree in Business Administration with Specialization in Digital MarketingBachelor's Degree in Business Administration with Specialization in Green Logistics and Supply Chain ManagementBachelor's Degree in Business Administration with Specialization in Risk ManagementBachelor's Degree in Business Administration with Specialization in Financial EngineeringBachelor's Degree in Business Administration with Specialization in ManagementBachelor's Degree in Business Administration with Specialization in Entrepreneurship and InnovationDiploma in Green EconomyDiploma in Blue EconomyDiploma in Climate Change Development and PoliciesDiploma in Risk ManagementDiploma in Digital MarketingDiploma in Business AnalyticsCertificate in Business AnalyticsCertificate in Digital MarketingCertificate in Green Logistics and Supply Chain Management

Second Choice
—Please choose an option—Bachelor's Degree in Computer Science with Specialization in Computer and Digital ForensicsBachelor's Degree in Computer Science with specialization in CybersecurityBachelor's Degree in Computer Science with specialization in Data AnalyticsBachelor's Degree in Computer Science with specialization in Data ScienceBachelor's Degree in Computer Science with specialization in Software DevelopmentBachelor's Degree in Business Administration with Specialization in Business AnalyticsBachelor's Degree in Business Administration with Specialization in Digital MarketingBachelor's Degree in Business Administration with Specialization in Green Logistics and Supply Chain ManagementBachelor's Degree in Business Administration with Specialization in Risk ManagementBachelor's Degree in Business Administration with Specialization in Financial EngineeringBachelor's Degree in Business Administration with Specialization in ManagementBachelor's Degree in Business Administration with Specialization in Entrepreneurship and InnovationDiploma in Green EconomyDiploma in Blue EconomyDiploma in Climate Change Development and PoliciesDiploma in Risk ManagementDiploma in Digital MarketingDiploma in Business AnalyticsCertificate in Business AnalyticsCertificate in Digital MarketingCertificate in Green Logistics and Supply Chain Management

Degree Type (If Diploma or Certificate was not selected)
Bachelors (Honours)Bachelors

Full Time or Part Time
Full TimePart Time

SECTION 2: PERSONAL DETAILS

Surname

First Name

Maiden Name (If Applicable):

Gender
—Please choose an option—MaleFemale

Title
—Please choose an option—Mr.Ms.

Date of Birth

ID or Passport Number

Email Address

Phone Number

Namibian Postal Address

Namibian Residential Address (while studying):

If not a Namibian Citizen please provide the following details. If Namibian please type "NA":

Nationality:

Passport Number:

Passport Expiry Date:

Type of Permit:

Permit No:

Permit Expiry Date:

Postal address in the country of origin (Foreign Students):

Residential Address in the country of origin (Foreign Students):

Do you have an impairment, disability or chronic illness we should know about? If "Yes" please specify and attach documents specifying your condition
—Please choose an option—YesNo

Based on your medical condition, do you have any special needs? If “Yes” briefly state your additional needs arising from the above mentioned medical condition

SECTION 3: APPLICANT’S NEXT OF KIN (PARENTS/GUARDIAN/SPOUSE/OTHERS) TO BE CONTACTED IN CASE OF EMERGENCY

What is your relationship with the person?

Title (Mr/Ms/Dr/Rev/….)
—Please choose an option—MrMsDrRev

Surname

Full Names

ID Number

Mobile Phone Number

Email Address

Residential Address

Postal Address

Telephone Work

Occupation

Employer Address

Name of Employer

SECTION 4: PREVIOUS SCHOOL PARTICULARS

Name of the last school attended:

Region of school attended:

Highest Grade Passed:

Year of Examination:

Examination Authority:

Provide results of latest examination available (Best 5 subjects including English). A certified copy or results must be uploaded with this form. Example: Subject | Level | Symbol | Points.

SECTION 5: UPLOADS

Passport photo should only be in jpeg, jpg or png format only. All other uploads should be in pdf format. Each PDF and jpgeg files should be 5mb or less.

Please upload a recent passport photo

Please upload the following (pdf format only):
- Certified copies of ID/Passport/(Birth Certificate if the applicant has not yet received an ID).
-Certified copies of all your academic certificate(s)/results/transcripts.
-Proof of payment of the processing fees (N$250).
-Original official translation of the foreign qualification - if in a foreign language other than English.
-NQA evaluation letter (for foreign high school qualification/foreign and Namibian post-school academic qualifications.

SECTION 6: DECLARATION

I declare that:

To the best of my knowledge and belief, the information furnished in this application will be true and correct and that if it be found to be false, and misleading in any respect, this application may be invalidated and my registration terminated; and further agree as follows:

I accept liability for any damage to University property caused by me and I indemnify the University against any loss of or damage caused to my property kept at or left at the University. I also indemnify the University against any claim for damages which I have while I am registered as a student at the University, especially acknowledging that my participation in any activity at the University or my travelling in any University vehicle, shall be at my sole and absolute risk. This indemnity shall be binding on my Executors.

I undertake to pay all amounts due to the University and acknowledge that a Registration Fee is required by a set date each year, including the first year of study, unless satisfactory arrangements have been made with the University.

I accept and understand that the University keeps documents, including this Declaration and Agreement, electronically and distributes them electronically. I agree that the University may use these documents in electronic format for whatever purpose required and I agree further that the electronically generated documents shall replace the originals signed by me.

I accept this declaration