Application for Admission 2025

Free Undergraduate Studies: InSTEM

Refer to the Guide to Prospective Students or our Yearbooks at FOR OFFICIAL USE ONLY
http://www.nust.na when completing this form.
Receipt Number
STUDENT NUMBER Date Received

PART 1: Programme of study for which you wish to enroll

Before completion of this part, read the definitions of mode of study and offering types on the last page of this form. Familiarise yourself with
what programmes are on offer before choosing your preferred campus.

Programme of study you wish to enrol

Choose the appropriate campus.

Campus: (Classes are offered face-to-face, online or hybrid learning)
Lüderitz Campus Eenhana Campus
Current Status
New Applicant
Registered Student Student Number

PART 2: Personal Details

Title Surname
First Name(s) Previous Surname (if changed)
Namibian
Date of Birth
Identity Number
Gender Male Female Home Language Home Town
Choose the appropriate region of origin below: (Namibian nationals only)
Erongo Hardap Karas Kavango East Kavango West Khomas Kunene
Ohangwena Omaheke Omusati Oshana Oshikoto Otjozondjupa Zambezi
If not a Namibian citizen, please provide the following details:
Country of Origin Passport Number Expiry Date
Type of Permit Permit Number Expiry Date
FOR OFFICIAL USE ONLY

Overall points achieved English Mathematics Physics Chemistry Biology

Accept 1 Choice
st
Accept 2 Choice
nd
Year admitted to Waiting Rejected
list
Conditions Applicable (if any)

Selection Committee: HoD:

 PART 3: Contact Details

Note: Postal addresses of schools or hostels are unacceptable for application purposes since the correspondence may be mailed to you well after you have left your school or hostel.

Address
Town Country
Home (Street) Address

Telephone (home) Telephone (work) Mobile

Very Important Note: All correspondence will be via

Email Address email. Kindly provide us with a valid email address.

Parent / Guardian Contact Details (This information is required in the case of an emergency)
Full Name and Surname
Postal Address Town Country
Home (Street) Address
Telephone Home Telephone Work Mobile

PART 4: Physical Challenges

NUST strives to create opportunities for people with disabilities. In many instances we have not yet eliminated all the barriers, it would
therefore be helpful for us to know in advance whether or not you have any special needs so that we can work together to achieve equal
access to the programme. Please supply us with the following information.

Indicate whether your are physically challenged Yes No If your answer is “yes” tick (√) the
appropriate challenge you are experiencing.

Visually impaired: blind Wheelchair bound

Visually impaired: partially blind – find it difficult to read Muscular / skeletal / joint / limb deficiencies /
printed text. Cannot study through reading. Need help in the diseases, such as polio or muscular dystrophy
form of audio cassettes, enlarged print.
Deaf Diabetes
State any other challenge you might experience and assistance that you might need:
 PART 5: Specially designated ethnic minorities

Are you a member of the following ethnic minorities? Please tick (√) Ovazemba/Ovahimba San
If your answer is “yes” attach hereto your full birth certificate and a sworn declaration by your Regional Councilor or Headman confirming
your ethnic group of origin.

PART 6: Educational Particulars

Secondary education details: Please enclose certified copy of your final Grade 12 results. Current Grade 12 learners should attach their latest
school results. It is of utmost importance that you provide us with your Grade 12 examination details.
Name of last school attended / Current school

Grade 12
Examination Year of
Examination
Authority examination
Number

Tertiary education details: Please enclose original transcripts and certified copies of certificates, diplomas etc.
Name of Institution From To Qualification obtained or enrolled for
Month Year Month Year

PART 7: General information

Name of employer Telephone number

Postal address

Do you have access to the following: (State “Yes” or “No”) Computer Internet Cellphone
 DEFINITIONS FOR PART 1 OF THIS APPLICATION FORM
Face-to-Face: Students who attend in-person classes taking a full course load per semester.
Online: Students are taking a full course load per semester, with courses being delivered online.
Full-time Flexible and Hybrid: Students can attend classes simultaneously in person or online, either synchronously (online at the
same time as the face-to-face) or asynchronously (going through learning resources on MS Teams at their own pace),
taking a full course load per semester. This is the preferred mode of offering for students who cannot attend face-to-
face classes.
Unless otherwise indicated in the course outline, all assessments will be administered either face-to-face or online but
Asessments
examinations are administered face-to-face in a controlled environment.

Instructions for the Completion of the Form

1. The application is not binding on the applicant or NUST.

2. It is important to provide us with an E-mail address. An email address can be obtained from any one of the following free email
providers e.g. www.yahoo.com, www.gmail.com etc.

3. The closing date for applications is 05 March 2025.

4. No late applications will be accepted.

5. This application must be accompanied by certified copies of birth certificate/identity document and relevant academic certificates /
latest school results.

6. Applicants with Non-Namibian Qualifications obtained outside the SADC region, must have these qualifications evaluated by the
Namibia Qualifications Authority.

7. Applicants with credits or completed qualifications from other accredited institutions of higher learning, who wish to apply for higher
levels of study within a programme, must submit an Application form for Admission with Advanced Standing.

8. Application forms for hostel accommodation can be requested at the NUST Main Campus, NUST Regional Centres or can be downloaded
from our website at www.nust.na

9. Forms must be submitted: BY Email to:

•
Eenhana Campus - snshilongo@nust.na

•
Lüderitz Campus - awentworth@nust.na and pshaningwa@nust.na

•
Alternatively, all applications can be hand submitted at all NUST Regional Centres and Main Campus at the Office of the Registrar,
The Admissions Department.

10. NUST will not be held responsible for the loss of any original document(s). All certified documents will be used for filing purposes.
No copies will be returned to the applicant.

11. All information will be treated as confidential.

 PART 8: Declaration and Undertaking by Applicant

I/we, the undersigned hereby declare:

To the best of my knowledge and belief the information furnished in this application is true and correct and that if it be found to be false and misleading in
any respect, this application may be invalidated and the applicant’s registration terminated;

That I/we will accept liability for any damage to NUST property caused by me and indemnify NUST against any loss or damage howsoever caused in respect of
property left at NUST by the applicant. I/we also indemnify NUST against any claim whatsoever for damages howsoever caused or arising which the applicant
may sustain whilst registered as a student at NUST, acknowledging the Applicant’s participation in any sporting or other activity at NUST or conveyance of
the applicant in any NUST vehicle, shall be at the Applicant’s sole and absolute risk. This indemnity shall be binding on the Applicant’s Executors and Heirs;

That I/we shall abide by all regulations of NUST – and further that the applicants shall, if accepted, be under the disciplinary control of NUST as from the
date on which he/she takes up residence at NUST or the day on which he/she commences studies or attends an orientation week or registers as a student,
whichever is earliest, until NUST accepts a notice of withdrawal from me/us or the applicant fails to renew his/her registration on the due date;

That I/we accept that NUST keeps documents, including this Declaration and Agreement, electronically and distributes them as such. NUST shall at all times
be entitled to utilize such documentation in electronic format for whatever purpose required and I/We agree that the electronically generated documents
shall replace the originals signed by me;

That although NUST does not take any responsibility for informing parents or guardian of disciplinary action against a student (whether pending or finalized),
academic performance or any other matters relating to the student, NUST may in its discretion report to the parents or guardian such breaches of the rules
by the applicant as NUST deems necessary and further to report on any matter concerning progress, conduct, well-being or health of the applicant, and
further that NUST may take all such steps as it considers reasonable in the event of the applicant becoming ill or requiring medical attention without NUST
undertaking any legal obligation to do so.

Signature of Applicant: Date: D D M M Y Y Y Y

Declaration by Parent / Legal Guardian (if applicant is under the age of 21 or is a legal minor)

I agree and consent to the above declaration, undertakings, waiver and indemnity by the applicant. I consent to the applicant signing the
registration forms if admitted. I irrevocably undertake that I shall not, in any capacity, hold NUST liable for any damage or loss which the
applicant or any person may suffer under any of the circumstances set out in the applicants’ declaration.

Signature of Applicant: Date: D D M M Y Y Y Y

CHECK LIST: Items that must be submitted before your application will be processed. Please tick (√)

Application form: All parts of the application has been A original official translation of the foreign qualification - if in
completed foreign language other than English
Application Fee: Proof of payment is attached e.g. bank A certified copy of the Namibian Qualification Authority (NQA)
deposit slip evaluation of foreign qualifications (if qualification is obtained in
A certified copy of latest school results e.g. August results, another country other than SADC
Namibia Senior Secondary Certificate
A certified copy of all tertiary qualification(s) and academic A certified copy of ID document (Namibian Citizens) or Passport
record (foreign students)
An original letter from Employer(s) A certified copy of marriage certificate (where applicable) or
divorce order (where applicable)