Application form (k300 non refundable) Receipt No………….………………..

Date bought…………………………
Received by……………….…………
Date……….……………….............

Data entry by……………………….

Date…………………………………….
Verified by……………………………
Date…………………………………….

Southern Africa Institute Of Aviation Science And

Technology
Please tick where necessary:
INTAKE: JANUARY MARCH JUNE SEPTEMBER

YEAR
OFFICIAL USE ONLY
CANDIDATE’S APPLICATION NO.
(New Applicant)

1. SURNAME: ……………………………………….. OTHER NAMES: …………………………………………….……

2. NRC …................/……/….. or PASSPORT NO (for non Zambians) …………………….………..……..
3. NATIONALITY: ………………………………………. EXAM NUMBER ……………………………..………….….
4. SEX…….. M-Male F-Female
5. MARITAL STATUS …………… M-Married U-Unmarried
6. POSTAL ADDRESS .………………………………………………………………………………………………………….
7. RESIDENTIAL ADDRESS …………………………………………………………………………………………………..
8. PHONE NUMBER …………………………………….. EMAIL …………………………………………………..
9. DATE OF BIRTH Day Month Year
10. NAME AND ADDRESS OF PARENT/GUARDIAN/NEXT OF KIN …………………………………………
..........................................................................Tel.No …..………………………………………………..
11. HIGH SCHOOL ATTENDED & YEAR OF COMPLETION ……………………………………………………….
………………………………… .............................................................................
13. PROGRAME OF CHOICE: …………………………………………………………………………………………………
FULL TIME: PART TIME: DISTANCE:

●DEPOSIT A NON-REFUNDABLE FEE OF K300 TO FNB ZAMBIA ACCOUNT NUMBER

62669280027.
*Make sure reference of deposit slip indicates your Name and words Application Fee.
●UPON SUBMISSION OF THE APPLICATION FORM, ATTACH YOUR DEPOSIT SLIP, A COPY
OF YOUR NRC AND YOUR GRADE 12 RESULTS.

DATE: ……………………………………………… SIGN: ……………………………………………

FOR OFFICIAL USE ONLY

…………………………………………………………………………………
SAIAST ADMINISTRATOR

FOR MORE INFORMATION VISIT US AT 18 MAGOYE ROAD (NEXT TO THE CUBAN EMBASSY)
P.O BOX 37463, KALUNDU, LUSAKA, ZAMBIA.