Accommodation Application Form
Please provide precise records to request and reserve university housing provisions
Student Details
Full Name
*
Date of Birth
*
Student Number
*
Gender
*
-- Select Gender --
Male
Female
Year of Study
*
-- Select Year --
Year 1 Semester 1
Year 1 Semester 2
Year 2 Semester 1
Year 2 Semester 2
Year 3 Semester 1
Year 3 Semester 2
Year 4 Semester 1
Year 4 Semester 2
Marital Status
*
-- Select Status --
Single
Married
Other
Academic Program
*
NRC / ID Number
*
Nationality
*
Accommodation Type & Rate
*
-- Select Preference --
City Campus: 2 Per Room - K2,000/mo
City Campus: 4 Per Room - K1,700/mo
City Campus: 6 Per Room - K1,500/mo
City Campus: 8 Per Room - K1,300/mo
City Campus: 10 Per Room - K1,200/mo
City Campus: 12 Per Room - K1,000/mo
Copperbelt Campus: 6 Per Room - K800/mo
Makeni Campus: 4 Per Room - K500/mo
Email Address
*
Contact Phone Number
*
Academic Intake Period
*
Residential / Permanent Physical Address
*
Sponsor Details
Name of Sponsor
*
Sponsor Contact Number
*
Sponsor Email Address
*
Next of Kin Details
Name of Next of Kin
*
Contact Phone Number
*
Email Address
*
Important Information Notice (NB):
Reservation of a room is confirmed strictly upon receipt of valid payment.
Allocation of spaces is processed strictly on a
First Come, First Served
basis.
There is a strict
NO Refund
policy of payment after a successful reservation has been logged.
The University administration reserves absolute rights to assign and configure Accommodation Arrangements for all resident students.
I hereby declare that the information provided is correct and I explicitly agree to the rules and terms listed above.
Submit Accommodation Application