• 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): *
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