Student Application Form – Upper Nile University

Full Name

Gender

Male Female

National No

Nationality

Date of Birth

Contact

Amount of Tuition Paid

School of (Check as appropriate)

Faculty of Education Faculty of Veterinary Medicine Faculty of Economics and Social Studies Faculty of Law Faculty of Management and Public Administration Sciences Faculty of Community Studies and Rural Development Faculty of Medical Laboratory Sciences Faculty of Management Sciences

Course (indicate the Degree or Diploma of your study)

Session (Tick as appropriate)

Day Evening Weekend

Do you have any disability?

Yes No

IF YES which type of Disability

Are you a member of any organise force?

Yes No

If YES

Original secondary school certificate

Photocopy of ID

Photocopy of pay in slip

Two passport size photos

I confirm that the the information provided above is true and accurate.

Please include any additional comments in the textbox below.

Semester Registration Form