CCAP SYNOD OF LIVINGSTONIA
Ekwendeni College of Health Sciences
P.O Box 49, Ekwendeni, Malawi
Completed forms should be sent to: Tel/Fax: +265 982 163 273; 888 707 324 FOR OFFICIAL USE ONLY
The Principal,
Email:
[email protected] PROGRAMME CODE (SN): --------------
Ekwendeni College of Health Sciences,
Box 49, APPLICATION NUMBER: ---------------
Ekwendeni. RECEIPT No. : --------------
OR Email: [email protected]
APPLICATION FORM
P.O Box 112, Mzuzu, Malawi
PLEASE INDICATE THE PROGRAMME YOU HAVE ARE APPLYING FOR …………………………………………………….
INSTRUCTIONS: Fill in the required information in BLOCK LETTERS or TICK where applicable
A. APPLICANT’S PERSONAL INFORMATION:
SURNAME -------------------------------------------- FIRST NAME------------------------------------------------------ (INITIALS) ----------------
SEX: MALE FEMALE: DATE OF BIRTH: -------------------------------------------------------------
NATIONALITY --------------------------------------------------------- HOME DISTRICT------------------------------------------------------------
TRADITIONAL AUTHORITY -------------------------------------- VILLAGE ------------------------------------------------------------------------
DENOMINATION --------------------------------------------------------------------------------------------------------------------------------------------
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CONTACT ADDRESS ------------------------------------------------------------------------------------------------------------ -------------------------
----------------------------------------------------------------------------------------------------------------------------- ---------------------------------------
Mobile No.……………………….……….. Telephone No…………………………… Email: ………………………………
B. ACADEMIC DETAILS: (ARRANGE THE SUBJECTS IN ORDER OF MERIT).
Qualification e.g. MSCE/IGSCE etc. Centre Number Examination Subject(s) Grades/ Year
number
points
C. SPONSORSHIP: (FOR ALL CANDIDATES)
SPONSOR OR GUARDIAN RESPONSIBLE FOR PAYMENT OF FEES E.T.C.
SURNAME: ---------------------------------------- FIRST NAME: -----------------------------------------------------------INITIALS ---------------
CONTACT ADDRESS: -------------------------------------------------------------------------------------------------------------------------------------
Mobile No.: -------------------------------------------- Telephone No. ------------------------------------- E-mail------------------------------------
Return the form with proof of payment of a non- refundable MK15, 000.00 registration fees for Malawian applicants or US
$30 for non-Malawian applicants. The registration fees should be paid through a bank deposit at National Bank of Malawi,
Account Number: 1298054, A/C NAME: Ekwendeni College of Health Sciences, Mzuzu Branch.
D. CHECKLIST: PLEASE CHECK CAREFULLY TO ENSURE YOU HAVE DONE THE FOLLOWING:
a. Attached a copy of your MSCE certificate or its equivalent (i.e., notification of results slip)
b. Attached proof of payment of the registration fee
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c. Provided proof of ability to pay fees (i.e., either by attaching a letter from the sponsor or employer confirming
sponsorship or bank statements for all candidates.
Notes:
i. Failure to provide the relevant and necessary information and/or documents may risk the disqualification of the
entire application.
ii. Applicants should understand that they will be required to abide by college rules and regulations Christian values
promoted by the C.C.A.P Synod of Livingstonia.
iii. For candidates with special needs, state your disability in the space below.
I certify that the information I have given is true and that I have checked and provided all the relevant information and
documents required in the processing of my application.
SIGNATURE: ------------------------------------------- DATE: ----------------------------------------------PLACE---------------------------------
Applications should be sent by post, or delivered by hand to Ekwendeni College of Health Sciences, P.O Box 49, Ekwendeni
or via email: [email protected]
The applications should reach the Principal’s Office by, 18th October 2024.
All other enquiries, such as fees details, etc, should be directed to the following contacts during working hours only: 0982
163 273 0884062134/0888677993 /0995636695, or [email protected]
DISCLAIMER
EKWENDENI COLLEGE OF HEALTH SCIENCES DOES NOT TRANSACT ITS BUSINESSES USING AIRTEL MONEY,
MPAMBA, PERSONAL BANK ACCOUNTS OR ANY OTHER MOBILE BANKING SERVICES, AND THE COLLEGE WILL
NOT BE HELD LIABLE FOR ANY LOSS OF MONEY THAT HAS BEEN TRANSACTED THROUGH THESE MEANS.
ECOHS envisages in contributing to a nation with sufficient numbers of adequately trained health
care of Christian background to provide quality health care through qualified staff in a conducive
environment.
ECOHS/09/2024
