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Nursing Form

Kampala University Online Application Form

ABOUT YOU
ADDRESS
Course Choice
Education and Qualifications
UACE / EQUIVALENT
Higher Education
General & career Information
Sponsorship
Declaration

Personal Information

Your Address Information

Student's Home Address  

Choose Three Courses

In this section you will fill out your three choice courses.
Courses

Education and Other Qualifications Information

Pre-University Education Please name schools attended with dates and GCEO-and A-Level Passes for other- Leaving Examinations results
Name of Institution
Certificate Obtained  
Year Obtained  
UCE / EQUIVALENT FOR FOREIGN QUALIFICATIONS
Example. Subject:English, Grade of subject:D1
Subject
Grade of subject

UACE (Where Applicable)

State Subject Combinations and Paper Grades
Name of Institution
Certificate Obtained  
Year Obtained  
UACE / EQUIVALENT FOR FOREIGN QUALIFICATIONS
Example. Subject:Geography, Grade of subject:A
Subject
Grade of subject

Higher Education (Where Applicable)

Names of the College or University
Dates From - To  
Degree or Diploma awarded (Including main and subsidiary subjects)  
Class/Grades  
Date  
Higher Institutions Attended and Years
Professional Qualification
Name of Educational, Training or Professional Institution  
Date  

General & career Information

Professional and Relevant Experience: State past and present occupations, including names and addresses of employers and dates of employment. (Where applicable)
Occupation
Employer  
Address of Employer  
Date of Employment  
Professional and Relevant Experience: State past and present occupations, including names and addresses of employers and dates of employment. Where Applicable
Published Work
Name of Publisher  
Publication Date  
Referees
Parent/Gurdian/Sponsor  

Academic Financing

Financial Support: Please state below how you intend to finance your studies. (SPONSERSHIP)
Please State your Nationality and Citizenship. (Passport No.)

YOU WILL BE REQUIRED TO PROVIDE A STUDENT'S PASS. THE UNIVERSITY CAN ASSIST YOU.

FOR UNIVERSITY USE ONLY:
Department / Center
Masters / P.G.Diploma
Source of Finance
Date of Start

Declaration By Applicant:

I declare that to the best of my knowledge, the information given above is correct.