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Kajo-Keji Health Training InstituteInstitute Management System!
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GENERAL INSTRUCTIONS: This form contains important information. Please read the form carefully and make sure that you have covered everything on the form before submission.
Return an appropriately filled form to the Principal Tutor Kajo-Keji Health Training Institute with the necessary attachments.
Please provide a reliable e-mail address and Telephone contact for correspondence.
The deadline for receiving applications is 26 September 2017, for applications intended for joining the college during the academic year 2017/2018 intake starting 15 January 2018.

Application fee: Application fee is 10,000 Uganda shillings non refundable. You should pay the fee either to the institute account in KCB Bank Arua (2290292087) or to the office. A copy of the receipt should be attached with the filled forms.

Surname:
First Name:
Middle Name:
National ID No.:
Passport No.:
Gender:
Date Of Birth:
Passport Photo:
Contacts
State:
County:
Payam:
Boma:
Village:
Phone:
E-mail:
Physical Address:
Postal Address:
Course and Reason

Select the course are wish to apply for and state reasons for applying for the selected course

Course:
Reasons:
Academic

South Sudan Secondary School Certificate or Equivalent

School:
Year:
Index:
Score/Average:
Scanned Result Slip:
Subjects Results:
  
  
  
  
  
  
  
Other Qualifications:
Qualifacation 1:
Certificate:
  
  
  
Qualifacation 2:
Certificate:
  
  
Source of Tuition
Source of Funding:
Sponsor:
Phone:
E-mail:
Currency:
Other Currency:
When returning the filled application form (as hard copy), the following papers should be attached:

i. A copy of the receipt as evidence for having paid the application fee
ii. A copy of Secondary School Certificate/other qualifications
iii. National ID/Any recognized ID

For soft copy send to registrar@kajokejihealthtraining.org and kkhtirss@gmail.com
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