UR: Basic Information that any Applicant must Complete
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): | * |
| Date of Birth (DD-MON-YYYY) e.g. 20-MAR-1997: | * |
| Gender: | Male Female |
| Marital Status: | Single Married Divorced Widow/er — Please Select — * |
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| Disability: | |
| E-Mail address: | * |
| Mobile Phone Number: | * |
| Nationality: | * |
| Country of Residence: | * |
| Father names: | * |
| Mother names: | * |
| Guardian/ Next of kin: | * |
| Next of Kin Phone Number: | |
| Previous Education: | |
| Qualification Obtained: | |
| Year of Completion (YYYYMM) eg : 201611,201301: | * |
| S.6 Index Number eg. 0991048BCG963(Required for Undergraduate applicants only): | |
| National ID Number: | * |
| Passport Number (For Foreign students): | |
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| Postal Address (Please use PO BOX 4285 Kigali-Rwanda as default): | * |
| Cell (Akagari): | |
| Sector (Umurenge): | |
| District (Akarere): | |
