IDENTIFICATION OF THE APPLICANT

Your Picture

First Name

Middle Name

Last Name

Gender

Martial Status

Date of Birth

Place of Birth

Nationality

ID or Passport N^o

ID Issued at

Religion

Email Address

Phone Number

RESIDENCE:

Province

District

Sector

Cell

Village

CHOOSE CLASS TO BE ADMITTED IN AND ACADEMIC YEAR

SELECT DEPARTMENT

SELECT PROGRAM

SELECT YEAR

SELECT INTAKE

PARENTS CONTACTS

Father Name

Father ID N^o or Passport N^o

Father contact

Mother Name

Mother ID N^o or Passport N^o

Mother Contact

GUARDIAN CONTACTS

GUARDIAN Name

Tutor

GUARDIAN ID N^o or Passport N^o

GUARDIAN CONTACTS

Processing your Information

ACADEMIC BACKGROUND

LAST SCHOOL ATTENDED

PERIOD /ACADEMIC YEAR

COMBINATION

GRADE

AGGREGATE

EXAMINATION AUTHORITY

PERSONAL EXPERIENCE

Experience #1:

ORGANISATION

PERIOD

NATURE OF JOB

Experience #2:

ORGANISATION

PERIOD

NATURE OF JOB

SPONSOR

SPONSOR NAME

CONTACT

REFERENCE

Reference #1: NAMES

OCCUPATION

CONTACT

Reference #2: NAMES

OCCUPATION

CONTACT

Reference #3: NAMES

OCCUPATION

CONTACT

ATTACHMENTS

PLEASE ATTACH THE FOLLOWING DOCUMENTS(IN PDF FORMAT)

REPORT OF THE LAST CLASS/LEVEL SIGNED AND STAMPTED (ORGINAL COPY)

PLE RESULTS+ P6 REPORT

ORDINARY LEVEL RESULTS SLIP (FOR TVET STUDENT)

BANK SLIP OF 30,000 Frws of REGISTRATION (PAID IN BANK OF KIGALI ONLY)

DECLARATION

I confirm that the information provided through this application form is (to the best of my knowledge) true, accurate, current and complete; and I agree to notify the college promptly if any information contained on this application form should change, in order to keep it true, accurate and complete.

I confirm that all supporting documents submitted as part of this application is entirely my own original,except where clearly indicated otherwise.

I understand that if I become a registered student, any personal data collected by the university as a result of my application will form part of my student record.

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