Applicant’s

Form “C” Photograph

GULU UNIVERSITY
P.O. Box 166 Tel: +256-471-432921
Gulu, Uganda Email: ar@gu.ac.ug
URL: www.gu.ac.ug

OFFICE OF THE ACADEMIC REGISTRAR

APPLICATION FORM FOR POSTGRADUATE PROGRAMME

(FOR POSTGRADUATE DIPLOMAS AND MASTERS DEGREES)

1. Academic Year ……………………………………………………………………………………………………

2. Programme applied for: Use the 3 letter code for the programme you are applying for.

Programme
Code

3. a) Surname (Block letters)……………………………………………………………………………………..

b) Other Names (in full)…………………………………………………………………………………………

c) Sex [ ] Female [ ] Male. (Tick as applicable)

4. a) Date of birth [day, month, year] ………/………/……………

b) Place of Birth …………………………………………………………………………………………………

5. Home District: ……………………………….. Sub-county…………………………….……………................

6. Citizenship: …………………………………….. Country of Residence: ……………………………………...

7. Religious Affiliation ………………………………………………………………………………………………..

8. a) Marital Status ………………………. b) Number of Children ………………………………………….

9. Permanent Address ………………………………………………………………………………………………

………………………………………………………………………………………………………………………

Telephone Number …………………………………… Fax Number ……………………….…………………

10. Contact Address: (if different from 9) ………………………………………………………….......................

……………………………………………………………………………………………………………………….

11. UGANDA CERTIFICATE OF EDUCATION (U.C.E) OR ITS EQUIVALENT:

a) Index Number ……………………………………………………………………
b) Centre Name ……………………………………………………………………
c) Year of Examination ……………………………………………………………………
d) Number of Distinctions ……………………………………………………………………
e) Number of Credits ……………………………………………………………………
f) Number of Passes ……………………………………………………………………
PLEASE ATTACH A PHOTOCOPY OF YOUR U.C.E. RESULTS OR ITS EQUIVALENT.

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12. UGANDA ADVANCED CERTIFICATE OF EDUCATION (U.A.C.E) OR ITS EQUIVALENT:
a) Index Number ……………………………………………………………………
b) Name of School/Institution (Centre) ……………………………………………………………………
c) Year of Examination ……………………………………………………………………

Subject Grade

…………………………………………………………….. ………………………………………..
…………………………………………………………….. ………………………………………..
…………………………………………………………….. ………………………………………..
…………………………………………………………….. ………………………………………..
General Paper … … … … … ………………………………………..

PLEASE ATTACH A PHOTOCOPY OF THE UGANDA ADVANCED CERTIFICATE OF EDUCATION OR ITS

EQUIVALENT. (STRICTLY A COPY OF CERTIFICATES OR RESULT-SLIP MUST BE ATTACHED.)

13. DIPLOMA, MATURE AGE AND DEGREE QUALIFICATIONS OR THEIR EQUIVALENTS:

Institution Attended Qualifications Obtained Date Obtained

…………………………………………………… …………………………….. ……………………

…………………………………………………… …………………………….. ……………………

…………………………………………………… …………………………….. ……………………

…………………………………………………… …………………………….. ……………………

…………………………………………………… …………………………….. ……………………

PLEASE ATTACH A PHOTOCOPY OF EACH ACADEMIC TRANSCRIPT OR ITS EQUIVALENT. (STRICTLY

A COPY OF EACH TRANSCRIPT OR ITS EQUIVALENT MUST BE ATTACHED.)

14. SPONSORSHIP:

Name of the Sponsor……………………………………………………………………………………………...

Address: ……………………………………………………………………………………………………………

……………………………………………………………………………………………………………………….

Tel No………………………………………… Fax No. ………………………………………………………….

Sponsor’s Signature ……………………………………. Date ………………………………….

15. DECLARATION:

I declare that the information given on this form is correct and accurate.

Signature of Applicant ………………………………….. Date …………………………………

NB: Please attach the original receipt and bank slip as evidence of payment of the application fee.
Make sure you photocopy Page 1 of this Application Form, which may later be produced by
successful candidates before issuing Admission Letter.

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