Note:

STEP 1: Please complete your Personal Information as requested below

Use the calendar button provided to select a date in the appropriate format

All fields indicated with * must be completed

STEP 2: Submit your Personal Inofrmation by clicking the 'Save' button or click the 'Clear Form' button to clear the inserted values.

Title:	*
Surname (e.g. GASANA):	*
Other Names (ANGE MARIE / BOSCO):	*
Initial:	*
Date of Birth (DD-MON-YYYY) e.g. 20-MAR-1997:	*
Gender:	*
Marital Status:	*
Disability:	*
Mobile Phone Number:	*
E-Mail address:	*
Country or Citizenship:	*
Father names:	*
Mother names:	*
Guardian/ Next of kin:	*
Next of Kin Phone Number:
Previous School of Education:
Certificate Obtained:
School Year of Completion (YYYYMM) eg : 201611 or 201301:	*
Previous Activity:
S.6 Index Number eg. 0991048BCG963(Required for Undergraduate applicants only):	*
National ID Number (16 Characters):	*
Passport Number (For Foreign students):
Postal Address (Please use PO BOX 4285 Kigali-Rwanda as default):	*
Cell (Akagari):	*
Sector (Umurenge):	*
District (Akarere):	*

BIOGRAPHICAL INFORMATION