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+49 176 2080 1003 info.chu@diversitylearninginstitute.org

info.chu@diversitylearninginstitute.org +49 176 2080 1003

Diversity Learning Institute-DLI

Search for:

Home
About
Courses
- Degree Courses
- International Nursing (IN)
Gallery
Our Leadership
LATEST & DOCUMENTS
Business Trade-IBT
Apply online
- Study Scholarships Offered!

Eastern province Zambia application form

NOTE:

– This form carries two types of applicants. Tick or cross-out the type of applicant you are (If found cheating you will not be enrolled)

– See the fees structure on our brochure on websites

www.twikatane.come

www.diversitylearningintitute.org

www.chuniversity.de

Standard Applicant (subsidised fees applicable)
Needy/Vulnerable/Less Privileged (to be sponsored)

ONLY for Needy/Vulnerable/Less Privileged

Important: Attach evendence that you are what you have explained above by providing a signed and stamped document from the nearby appropriate government office, or the lawyer, or recognised head of a church, or commissioner of oaths.

ONLY for Needy/Vulnerable/Less Privileged

Have you ever applied for any financial help before?If YES explain

ONLY for Needy/Vulnerable/Less Privileged

Whom Do You Live With (State the full relationship)? Why can't he/she/they pay for your fees?

Your second/surname according to your National ID or Passport *

Your first name according to your National ID or Passport *

Passport Or National ID Number *

Date of birth (Day/Month/Year) *

Marital Status *

Single
Married

Your Title (tick appropriately) *

Ms.
Mrs.
Mr.
Other

Your Physical Or Postal Address *

Please state your full address (house #, street, city, Province, post code, country)

Your Nationality *

In which city & province do you exactly live? *

Your email address(s) (Please, write it in CAPITAL LETTERS) *

Applicant's Mobile And Telephone Number(s) (With country international code)

Your Next Of Keen's Name, Mobile And Telephone Number(s) (With country international code)

That is a person we can contact other than you:

Undergraduate/Bachelor:

1st Option:

2nd Option:

Master's degree:

1st Option:

2nd Option:

Ph.D:

1st Option:

2nd Option:

Diploma

Explain Why You Want This Course:

State Study Language:

Explain Why You Want This Course:

Uncompleted Studies:

Have you partly studied in any other college/university and could not complete your studies? If YES,explain why you could not complete. Also, state and attach the current scripts you posses from your previous college/university.

Please attach all your current qualifications

Click or drag files to this area to upload. You can upload up to 10000 files.

Attach You National ID Or Passport Copies

Click or drag files to this area to upload. You can upload up to 10000 files.

Attach Any Other Important Letters Or Documents (E.g motivational letter, reference/support letter, etc)

Click or drag files to this area to upload. You can upload up to 10000 files.

State The Relationship With You:

Name & Address of Payer:

List All The Current Qualifications You Possess

Note: Please, attach /enclose the copies of your qualifications stated above together with your CV, and motivation letter. All the certificates and transcripts MUST BE FULLY LEGALLY CERTIFIED. If not yet fully certified you can still apply and make sure that the certified ones are sent to us later before course starts.

Have You Done German Language Before? Tick: YES___NO___ *

Yes
No

Do you posses any German certificate

State The Examining Board Or Organisation

How Did You Know About Us?

State the name of the organisation or person who refered you to us.

Do You Have A Computer, Laptop, Ipad Or Any Communicative Gadget? This is very important for some assignments are sent via online. *

Yes
No

State Your Gadget:

Have You Got A Current Police Case Or Any Pending One? If YES Explain Below (Feel free for this does not disqualify you)

Applicant's Declaration *

I declare that all the details filled in above are true (Note: Any discovered lie will automatically disqualify you)

Your Signature * *

City & Country of Signing *

Date Of Signing *

Important Links

Online Application

Diversity Learning Institute (DLI Germany), Central Hamburg University- CHU, was founded in 2010 in the city of Hamburg in Germany. The initial purpose of its founding was to offer the German language in underdeveloped countries where a lot of migrants showed interest to visit Germany for various reasons, such as tourism, business, further studies, and marriage.

Copyright ©2022 Diversity Learning Institute-DLI. | Modified By Witlevels Comfort Batcall