Kindly fill in your details in the fields below. All fields are mandatory. Incomplete applications will be rejected.

<form>
Action mail hpc@zamren.zm
Thanks "Thanks for submitting your valuable data."

Fieldset "Contact Information"
Textbox  "First name"
Textbox  "Last name"
email "E-Mail Address"
Textbox  "Phone Number"

Textbox "Institution"
textbox "Department"
textbox "Position"


fieldset "Research Project"
textbox "Field of Science"
textbox "Project Title"
textbox "Supervisor Name"
textbox "Supervisor Email" 
Textbox "Supervisors Institution"
textarea "Project Overview "
textarea "Research Plan "

fieldset "Account Information"
textbox "Requested Account Username"
static "For example if you are Andrew Phiri, You can request for aphiri"
password "Password"
static "Passwords must meet the following criteria:
        Must not contain your account name or parts of your full name
        Must be a minimum of 8 characters in length
        Must contain characters from at least three of the following: 
             uppercase letters, lowercase letters, numbers, symbols "

submit
</form>