Apply Online – Kumi University

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			=========== Kumi Univerity Online Application Form ==========
NOTE! 1- All Fields with ' * ' are Mandatory (Must be filled). 2. Application fee is 25,000Ugx,  Commitment fee is 50,000Ugx all Payable on Admission Form pick up. 
 
Bio Data
Upload Passport Photo  *Accepted format: png, jpeg and gif.
First Name  *English Name
Last Name  *Other names
Date of Birth  *E.g. 27/05/1985
Gender  *
Marital Status  *
Phone Number 1  *Only One number
Phone Number 2 Only One number
Email 
Current Address Your current place of rescidenceStreet AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Permananent Address Your home address(e.g. Village) if Different From the above. Separate places with comas.
 
Course Applied for (Select a Course in order of preference )
First Choice  *
Second Chhoice  *
Third Choice 
Fourth Choice 
Please Indicate Subject Combinations in case of BAED BAED -(Bachellor of Arts with Education)
Programme Applied  *
 
Uganda Certificate of Education (UCE) or Its Equivalent
Index No. 
Year of Examination  *
Enter Subject and Grade Separated by Comas  *E.g.  i. English - 1,     ii. Physics - 2
Upload UCE Certificate or Its Equivalent  *Accepted file formats: pdf, png, jpeg & gif
 
Uganda Advance Certificate of Education (UACE) or Its Equivalent
Index No. 
Year of Examination 
Enter Subject and Grade Separated by Comas E.g.  i. Economics - C,      ii. History - B
Upload UACE Certificate or Its Equivalent Accepted file formats: pdf, png, jpeg & gif
Upload any other relevant document to your admission Accepted file formats; - pdf, jpg,png & gif.
 
Parent's Details
Father's Name Name in full
Mobile Number 
Email 
Mother's Name Name in full
Mobile Number 
Email 
 
Guardian's Details
Name Name of your care taker if not biological parent
Mobile Number 
 
DECLARATION BY THE APPLICANT
I have noted and understood the implication of giving incomplete/incorrect information. I confirm that the information given on this form, to the best of my knowledge is correct.  *It should be noted by all applicants that cases of impersonation, falsification on Documents or giving false incomplete information whenever discovered either at Registration or afterwards will lead to AUTOMATIC CANCELLATION OF ADMISSION and prosecution in the Uganda Court of Law.I certify that the above information is correct.
 
Verification
Enter any two (2) unique digits Secret code *E.g. 33, 22. NB: Note it down for reference purposes
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