Application Page

STUDENT'S APPLICATION FORM

First Name

Middle Name

Surname

Date of birth

Telephone Contact

Gender

Female Male

Country of residence

Place of birth

Passport Number

Expiry date

Country of Issue

ID Number

Expiry date

Country of Issue

Address

County

State

Country

Postal code

Address

County

State

Country

Postal code

Next of kin

Relationship

Nationality

Phone number

Have you applied for or are you holding any type of Ugandan Visa?

Yes No

If yes Visa Type

Student Visitor tourism business

Visa Expire Date

Are you intending to apply for any of Uganda visa within the next 12 months

Yes No

If yes Visa Type

Student Visitor tourism business

Custom Table

HIGHEST QUALIFICATION	SCHOOL/INSTITUTION	YEAR OF ATTAINMENT	COUNTRY	UPLOAD FILE	ACTION

Academic Background Table

QUALIFICATION	SCHOOL/INSTITUTION	YEAR OF ATTAIN	COUNTRY	ACTION

Check applicable

Health Care Assistant CDL Computer Training

Check applicable

Onsite Online

Is English your first language?

Yes No

If no, what is your main language

Indicate if you have taken any of the following:

ELTS TOEFL

Others

Date taken

Check applicable

Credit card Bank Mobile Money

Confirm

Completed all sections of the application form Attached certified copy of proof of citizenship/residency (passport, visa, birth certificate, citizenship certificate) Attached certified copies of academic transcript(s) and certificate(s) translated into English (if applicable) Attached certified copied of English Language Proficiency Test Attached any other forms and associated certified documents requested in this application form Paid the application fee

I declare that the information given is a correct information to the best of my knowledge it will not conflict with any other persons information at any one point in time.

Agree

STUDENT'S APPLICATION FORM

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