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PUR STUDENT APPLICATION
1. Applicant informations
Surname (Family name)
*
Required
First name
*
Gender
*
Male
Female
Date of birth
*
Phone number
*
E.g: +22230000000
E-mail
*
2. Academic informations
What did you study in Secondary School?
*
Choose the Campus
*
Huye
Karongi
Which program Type do you want to study :
Short Course
UnderGraduate
Postgraduate
Choose the Level Applying for
*
3. Supporting documents
1. A Level Certificate/Degree/Diploma
*
2.School Report for S4,S5,S6/Transcript.
*
3.Bank Slip for Application
*
A Level Certificate/Degree/Diploma Issued on
*
School Report for S4,S5,S6/Transcript Issued on
*
Grade/Marks (N/A if not Applicable)
*
Institution
*
Country
*
Afghanistan
Andorra
Angola
Aguilla
Argentina
Austria
Burundi
Belgium
Benin
Botswana
Central African Rep
Canada
Chile
Djibouti
Dominican Republic
Polynesia (FR)
Ghana
Guadeloupe
Lithuania
Mauritius
Malta
Mexico
Antilles (Neth)
Panama
Portugal
Congo
South Africa
Singapore
Slovenia
Somalia
Sri Lanka
St. Helena
St. Lucia
Swaziland
Syrian Arab Rep
Thailand
Timor Leste
Tokelau Islands
Trinidad & Tobago
United Arab Emirates
Uruguay
Irian Jaya (West Irian)
Zambia
Sponsor
*
PUR
FARG
CHURCHES
Government
PRIVATE
ADEPR