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Residence Application 2025

Application

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haitembupenny
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40 views3 pages

Residence Application 2025

Application

Uploaded by

haitembupenny
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department of Student Services

Residence Application Form


2025
(MALE & FEMALE STUDENTS )
Indicate room number if currently in the hostel:………………
Academic Year Applied for: Deadline for Submission: 16 October
2024
1st 2nd 3rd 4th
Form must be returned immediately via email (NO
HARD COPIES ACCEPTED)
Faculty
dss-hostelapplications@nust.na
Course
This application is not binding on either the applicant or the
Namibia University of Science and Technology (NUST). All
STUDENT NUMBER
Information will be treated as confidential.
Mode of Study Fulltime Part-time Distance
Instructions: Use block letters to complete this form where
space is provided or place an ‘X’ in the correct square. Incomplete
SECTION 1: Personal Details applications will not be accepted.

Surname Initials

Full Name Identity No / Passport


No
Maritial Status Single Married Divorced Gender Male Female

Date of Birth Y Y Y Y D D M M Cell No. Tel No.

Nationality Namibian Other Please Specify

E-mail Address Postal Address

Residential Town
Address
Region Country

SECTION 2: Contact Details of Person Responsible for Account


Surname Initials

Full Name Identity No.

Residential Postal Address


Address
Country Cell No.

E-mail Address Tel No.


SECTION 3: Next of Kin Contact Details (for emergencies)
Family relationship with the person whose particulars are supplied

Father Mother Spouse / Guardian


Partner
Name and Surname

Residential Address

Tel No. Home Country

Tel No. Work Cell No.

SECTION 4: Physical Status (for planning purposes, please note that you may be contacted]

Do you have a disability? Yes No

If ‘YES’, please specify

Based on your disability, do you have special needs? Yes No

If ‘YES’, please specify

Do you have a chronic illness?Yes No

SECTION 5: Medical Aid Details

Name of Medical Medical Aid No.


Aid
Main Identity No.
Member
Cell No. Tel No. E-mail Address

Relation to Student? Father Mother Other Specify

SECTION 6: Conditions
Senior Students First Year Students
Check List: Items that must be submitted together Check List: Items that must be submitted together
with your application. with your application.

Application form: All parts of the application Application form: All parts of the application
must be completed. must be completed.
Original June results (NO PRINT OUT FROM A certified copy of latest school
STUDENT KIOSK). Students doing year courses results e.g. August results.
such as Engineering and Architecture should Certified copies of parents/guardian ID
submit a progress report or a confirmation letter documents. Police declaration obtained in the
from a lecturer. town where parents/guardians live, stating that
Certified copies of parents/guardian ID they do not live in Windhoek.
documents. Police declaration obtained in the Certified copy of latest electricity/water bill OR
town where parents/guardians live, stating that Police declaration stating parents/guardians do
they do not live in Windhoek. not have a water or electricity bill. No
Certified copy of latest electricity/water bill OR application will be considered WITHOUT an
Police declaration stating parents/guardians do electricity/water bill.
not have a water or electricity bill. No No pre-paid print outs will be accepted.
application will be considered WITHOUT an
electricity/water bill.
No pre-paid print outs will be accepted.
The following conditions are applicable to both senior and first year students:
1. NUST has limited residence space. Admission to NUST does not guarantee space in the hostel.
2. No hostel accommodation applications will be accepted for students residing in Windhoek.
3. Only full-time registered NUST students will be accommodated.
4. A confirmation letter will be sent to all successful applicants. Unsuccessful applicants will also be notified.
6. Upon registration, students are required to pay a deposit which includes a refundable breakage fee, that will be determined by
Finance.
5. NO LATE APPLICATIONS WILL BE CONSIDERED.

SECTION 7: Declaration
I declare that the information provided above is true and correct.

Signature of Applicant Date

If applicant is under 21 years of age Signature of Guardian Date

NOTE:
On signing the Registration Form and/or Residence Application Form, a student binds himself/herself to obey all the legal provisions
and rules of NUST, and it is the student’s duty to become acquainted with such legal provisions and rules. Ignorance of such legal
provisions shall not establish a defense. In this regard, NUST Act of 2015, all the Calendars and Prospectuses, the rules and
prescriptions of Council, Senate, Board of Studies, Departments, the Vice-Chancellor pronouncements or those of any other
authorised official or body are important.

FOR OFFICIAL USE


To be completed by the Superintendent:

Residence

Name of Superintendent

Year Student Number

Faculty Course

Signature Date Floor Room


Number

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