NAM University of Science and Technology

BIOGRAPHICAL INFORMATION

Step 1: Please complete your Personal Information as requested below. All fields indicated with a * must be completed.

Step 2: Submit your Personal Information by clicking the 'Save' button or click the 'Clear Form' button to clear the inserted values.

Application Type:	*
Surname:	*
Name(s) as appearing on your ID or birth certificate.:	*
Initials:	*
Maiden Name (Surname before marriage):
Title:	*
Gender:	*
Marital Status:	Single Married Divorced Widow/er -- Please Select -- *
Date of Birth (DD-MON-YYYY):	*
Identity Number:
Home Language:	AFRIKAANS ENGLISH FOREIGN LANGUAGE GERMAN KHOE-KHOEGOWAB OSHIWAMBO OTJIHERERO PORTUGUESE RUKWANGALI RUMANYO SETSWANA SILOZI THIMBUKUSHU -- Please Select -- *
Region(Only applicable to Namibians.If from a marginalized group,select group):	CAPRIVI REGION ERONGO REGION FOREIGN HARDAP REGION KARAS REGION KAVANGO EAST KAVANGO REGION KAVANGO WEST KHOMAS REGION KUNENE REGION OHANGWENA REGION OMAHEKE REGION OMUSATI REGION OSHANA REGION OSHIKOTO REGION OTJOZONDJUPA REGION OVAHIMBA OVAZEMBA SAN ZAMBEZI REGION -- Please Select --
Matric/Grade 11/12 Date (YYYYMM):	*
School Name:	*
School Leaving Type (Matric Exam type):	-- Please Select -- *
Grade 11/12 Exam (Candidate) Number:
Highest Standard / Grade completed up to current year:	*
Citizenship Code:	AFGHANISTAN ALBANIA ALGERIA ANDORA ANGOLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA FASO BURUNDI CABO VERDE CAMBODIA CAMEROON CANADA CAPE VERDE CENTRAL AFRICAN REPUPLIC CHAD CHILE CHINA COLOMBIA COMORES COSTA RICA COTE d IVOIRE CROATIA CUBA CYPRUS CZECHIA DEMOCRATIC REPUBLIC OF CONGO DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ESWATINI ETHIOPIA FIJI FINLAND FRANCE GABON GAMBIA GEORGIA GERMANY GHANA GREAT BRITAIN GREECE GRENADA GUATEMALA GUINEA GUINEA BISSAU GUYANA HAITI HONDURAS HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA KOSOVO KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MADAGASCAR MALAWI MALDIVES MALI MALTA MALYSIA MARSHALL ISLANDS MAURITANIA MAURITIUS MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTENEGRO MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NEW ZEALAND NICARAGUA NIGER NIGERIA NORTH KOREA NORTH MACEDONIA NORWAY OMAN PAKISTAN PALAU PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILLIPPINES POLAND PORTUGAL QATAR REPUBLIC OF CONGO REUNION ISLAND ROMANIA RUSSIA RWANDA SAINT KITTS AND NEVIS SAINT LUCIA SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME & PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SOUTH SUDAN SPAIN SRI LANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TIMOR-LESTE TOGO TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES (UAE) UNITED KINGDOM (UK) UNITED STATES OF AMERICA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE -- Please Select -- *
Cell Phone Number:	*
Postal Address (Start with P.O.Box or Private Bag):	*
Suburb (e.g. Katutura, Khomasdal, etc):
Town:
Country:
Postal Code: To search Enter Town e.g%OPUWO% to find code:
Email (Use a valid e-mail address.All admission letters will be sent via e-mail):	*