STUDENT APPLICATION FORM

Full Name(as per passport/National ID)

Gender

Date of Birth

Nationality

Religion

Occupation

Home Address

Phone Number

Email Address

Current/Previous School/Institution

Course Interest

If Other Specify

Time Schedule

Start Date

Name

Contact Information

Relationship to Applicant

Area of Residence

P. O Box 221118 Masaka City
Near, Carlton Palace Motel
Uganda
Phone: +256 (0)759 999199
Email: info@saqiug.com