Complete this form to apply to a Diploma programme at Kalulushi College of Nursing, Applied Sciences, Technology and Arts.
Choose your programme, then the intake period you're applying for. Only January and July intakes are open — each closes to new applications on a fixed date, shown below once you pick a period.
If someone referred you to KCNASTA, enter their referral code below. This is optional.
Format: NNNNNN/NN/N. Leave blank if you only have a passport.
Person we contact in case of emergency. Usually a parent or guardian.
Enter at least 5 subjects. For Pharmacy programmes, English, Mathematics, Biology, and Chemistry are essential.
Provide at least one reference (former teacher, employer, pastor, etc.).
Referee 1 *
Referee 2