Online Application Form Please fill in all the information below: Course applied for (required) ---Organic Production methods in crops andanimal husbandryEthno veterinary medicine/VeterinaryscienceOrganic Product Processing, Value Additionand CertificationOrganic Packaging and marketing bothlocally and internationallyRural Community extension and groupmobilization for marketing and general developmentAppropriate technologyInformation technology Program (required) DiplomaCertificate Your Surname (in full) Other Names (in full) Sex (required) MaleFemale Date of birth (required) Citizenship (required) UgandaKenyaRwandaTanzaniaBurundiDR. CongoSouth Sudan Attach your birth certificate (required) Your Home District (required) Step 2 - Uganda Certificate of Education (UCE) or its equivalent: Index No. (required) Examination Year (required) Summary of grades Distinctions Credits Passes Grade Attach a photocopy of the Uganda Certificate of Education or its equivalent (required) Step 3 Uganda Advanced Certificate of Education (UACE) or its equivalent Index No. (required) Examination Year (required) Points acquired Attach a photocopy of the UACE Certificate or its equivalent (required) Step 4 Other Personal Information Marital status (required) SingleMarriedOther Permanent address Emergency Contact Your Email (required) Do you have any disability? YesNo If yes, state the type of disability. ---Chronic IllnessPhysical DisabilityImpairment (Hearing, Speaking, Seeing, etc)Others Briefly state nature of disability Step 5 Give names of 2 persons in responsible position from whom confidential information may be obtained about you if necessary. (i). Name Address Telephone Number (ii). Name Address Telephone Number Declaration by the applicant. I have noted and understood the implication of giving incorrect information; I confirm that the information given on this form, to the best of my knowledge, is correct. It should be NOTED by all applicants that cases of Impersonation, Falsification of Documents or giving False /Incomplete Information wherever discovered either at Registration or afterwards will lead to automatic CANCELLATION of Admission and prosecution in the Uganda courts of Law. Check if you agree with the terms and conditions. NB. A none re-fundable application fee of Sh 20,000/= to be paid by the applicant.