Short Course Application Form

APPLICATION FOR ADMISSION TO THE INSTITUTE OF SURVEY AND LAND MANAGEMENT FOR A SHORT COURSE

APPLICATION FOR ADMISSION TO THE INSTITUTE OF SURVEY AND LAND MANAGEMENT FOR A SHORT COURSE

PART ONE ( BIO-DATA)

Attach Your Passport Photo*

Upload

Your Names*

Gender*

Marital Status*

Date Of Birth*

Village*

Sub County*

County*

District*

Nationality*

Permanent Address*

Contact Address*

Telephone number*

PART TWO ( COURSE APPLIED FOR )

Academic year for which admission is sought*

Kindly Select The Course Your Applying for*

PART THREE

A. EDUCATION BACK GROUND

Highest Level of Education attained*

Scan and Attach Original copies of your academic doucments*

Upload

B.SOURCE OF FUNDING

State the person or institution responsible for your fees payment.

Names*

Address*

Telephone Number*

Attach Your Original scanned Payment Slip*

Upload

Note: This form must be submitted with evidence of payment of application fee of UGX.52,750 inclusive of Bank charges paid to Stanbic Bank A/C no. 9030005966344 in the names of Survey Training School.

I the Applicant declares the information given on this form is correct, complete and true in all aspects. Note: Cases of impersonation, falsification of documents, giving false / incomplete information or any irregularity whatsoever when ever discovered either at registration or afterwards is tantamount to automatic cancellation of admission and prosecution in the Uganda courts of law

Date Of Application*