Meyfield College

Application fee: N$ 250.00 (non-refundable) · Late application: N$ 300.00 · Registration: N$ 2,000.00 (non-refundable)

Pay application fees to Bank Windhoek — MAYFIELD UNIVERSITY, NDP-3002087115, branch Ondangwa (code 483-373).

Fields marked * are compulsory.

Section A — Programme choices

Academic year *

First choice *

Programme *

Study mode *

Full timePart timeDistance

Second choice

Programme

Section B — Applicant's particulars

Title *

First name(s) *

Initials *

Surname *

Date of birth *

Sex *

MaleFemale

ID number *

Marital status *

SingleMarried

Nationality *

Region of origin *

Passport number

Passport expiry

Cellphone number *

Email address *

Residential address *

Postal address *

Non-Namibian applicants

I am a non-Namibian applicant

NoYes

Do you have any disability?

NoYes

Section C — School leaving particulars

Last school attended *

Highest grade passed *

Current grade (if applicable)

Examination number *

Examination body *

Best six subjects (including English) *

#	Subject	Level (NSSC-O, H)	Symbol
1
2
3
4
5
6

Section D — Next of kin

Relationship *

Title *

First name(s) *

Surname *

Maiden name

Sex *

femalemaleother

Date of birth *

ID number *

Nationality *

Occupation *

Cellphone number *

Telephone number

Residential address *

Section E — English language proficiency

A. Medium of instruction at school *

B. Home language *

If either answer is not English, provide English course/exam details

Section F — Post-school qualifications (postgraduate applicants)

Complete only if applying for postgraduate study. A full academic record should accompany this application.

Institution

City / country

Program

Year from

Year to

Have you ever been refused/denied admission to tertiary?

NoYes

Are you currently enrolled with CMC?

NoYes

Section H — Outstanding examinations

Awaiting examination results?

NoYes

Required documents

Tick each document you will submit with this application or send separately within 7 days (certified copies as applicable). Failure to submit required documents may disqualify your application.

Passport photo
Certified copy of identification (ID)
Certified copy of full birth certificate
Certified copy of academic results / certificate
Certified copy of ID or copy of next of kin
Certified copy of proof of payment
Certified copy of passport (if applicable)
Proof of application fee

Declaration

I hereby declare that all particulars given in this application form are true and correct. I agree to abide by all rules and regulations of Meyfield College.

Applicant full name (signature) *

Date *

Guardian / sponsor full name (signature) *

Date *

I confirm the information provided is accurate and I understand application and registration fees apply as listed above. *

Full-time application form

Section A — Programme choices

First choice *

Second choice

Section B — Applicant's particulars

Non-Namibian applicants

Section C — School leaving particulars

Section D — Next of kin

Section E — English language proficiency

Section F — Post-school qualifications (postgraduate applicants)

Section H — Outstanding examinations

Required documents

Declaration