Application Form - International University of East Africa

Title

First Name

Second Name

Date of Birth

Country of Birth

Gender

Male Female

Passport Photo (file formats allowed jpg or png)

Email Address

Telephone/Mobile No

ADDRESS DETAILS

Postal Address

City/Town

Citizenship

Country of Residence

Country Code

Preferred Program

Preferred mode

Preferred Intake

Upload Academic Documents (All documents must be well scanned and clear to read)

Upload a copy of your National ID, (For Ugandans) or a valid Passport (For International students)

REFERENCES

Who Will Sponsor Your Education at International University of East Africa?*

Parent Guardian

Sponsor's name

Sponsor's address

Sponsor's Telephone

Sponsor's Email

HOW DID YOU HEAR ABOUT THE UNIVERSITY? *

University Website University Prospectus/flyers/Brochures Tv Radio Newspaper Exhibition & Recruitment Fairs Church/Organization Relative/ & Friends Alumni Staff/Faculty Social Media Visit to university campuses SMS Email

Referred by Agent

Other Sources

DECLARATION

I confirm that the information I have given is true, complete and accurate. I am fully responsible for its validity.