Ulrika Institute – Application Form

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Application

Online Application Form

Fill in the details below to apply for admission. All fields marked with * are required.

A. Personal Details

Surname *

Other Names *

Gender *

Date of Birth *

Place of Birth (Village / Town)

Home District *

Nationality *

Religion / Faith

Current District of Residence *

Residential Address (Village / Street)

Postal Address (P.O. Box)

Phone Number *

Email Address *

B. Parents / Guardian Details

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Guardian / Next of Kin *

Guardian's Phone *

C. Academic Background

Primary Leaving Examination (PLE)

Year of PLE

Index Number

Name of Primary School

Uganda Certificate of Education (UCE)

Year of UCE

Index Number

Name of Secondary School

Other Qualifications / Certificates

D. Attachments

Please attach scanned copies (PDF, JPG, PNG, or GIF) of the following documents. Max 5MB per file.

PLE / UCE Slip Max 5MB

UCE (or equivalent) Slip Max 5MB

Birth Certificate Max 5MB

Identity Card (from former school) Max 5MB

Application Fee Receipt Max 5MB

E. Sponsorship

Type of Sponsorship * Self‑sponsored Parent / Guardian Organization / Company Government

F. Declaration

I solemnly declare that all information given above is true and correct to the best of my knowledge. *

Full Name (as signature) *

Date *

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