STUDENT APPLICATION FORM

SECTION A: Personal Information

First Name * Last Name * Course Applied For * Nationality Date of Birth Sex Marital Status Number of Children Home District Present Address Telephone Number * Email Address * Sponsor Name Sponsor Telephone Next of Kin Next of Kin Telephone

SECTION B: Academic & Professional Qualifications

1. Uganda Certificate of Education (UCE)

Index Number Year of Examination School

Subject	Grade	Subject	Grade

2. Uganda Advanced Certificate of Education (UACE)

Index Number Year of Examination School

Subject	Grade	Subject	Grade

SECTION C: Declaration

I declare that the information given on this form is correct and true to the best of my knowledge.

PART D: Registration Fee

For your Application To Be Reviewed you have to pay The Registration Fee of Shs. 50,000 on 0706880722 (Nakyanzi Allen) after submit a proof of payment on Whatsapp. Thank You!