APPLICATION FOR UNDERGRADUATE ADMISSION

When filling out the form below, please print using only CAPITAL LETTERS.

1. Surname _____________________ First Name __________________ Initial ______ 2. Date of Birth: Day: ___________ Month: __________Year:______________ 3. Sex __________ 4. Nationality_____________________________ 5. Address____________________________________________________________ 6. Intended Degree Programme of Study _____________________________________________________________________ 7. Full Time________________ or Part Time ___________________ 8. Name of Sponsor : Name of person or organization to provide financial support for your study at Blantyre International University: Name__________________________________ Relationship______________ Address_____________________________________________________ Phone __________________ 9. How did you hear about BIU? (Newspaper advert / Magazine / Internet / Radio / TV / BIU Career Talk at School / Word of Mouth ) Tick whichever applies. Email

10. Examinations taken and results Name of Examination Examination Date Month Year Subject/Cours e Result

(Use additional paper, if required)

11. Employment to Date (give names and addresses of no more than two most recent employers). Give month and year on which work started and terminated. Describe briefly what you do (or did) on day to day basis. Name and address of employer Period From To A B C D E A B C D E I certify that the above information is true and accurate Student Signature____________________________________Date__________________ Send your application form together with an application fee of MWK2,500.00 or the equivalent in any convertible currency such as US Dollar, Rand, Pound Sterling, Euro) in the form of a postal order or bank draft to: The Registrar Blantyre International University Private Bag 98 Blantyre Malawi Remember to enclose copies of your certificates and/or testimonials. Duties