FORM NCHE.

NATIONAL COUNCIL FOR HIGHER EDUCATION

34 Cavers Crescent TEL : 0312 262 144/5

P. O. Box 76 E-Mail : NCHE@infocom.co.ug
KYAMBOGO FAX : 0312 262 145
KAMPALA, UGANDA.

THE UNIVERSITIES AND OTHER TERTIARY INSTITUTIONS ACT, 2001

APPLICATION FOR CERTIFICATE OF EQUIVALENCE
(Fill all items on this form and append attachments wherever necessary)

1. NAME: ………………………………………..………………………………..…

2. ADDRESS:
(i) Postal Address: ……………………………………………….……
(ii) Fax Number: ..………………………………..……………………
(iii) E-Mail: …………………………..…………………………
(iv) Website: …………………………….…………...……………
(v) Telephone Lines:…..................…….…....Mobile:…......……...................

3. NAME OF EMPLOYER (For employed applicants): …………………………

………………………………………………………………………………………

4. NAME AND ADDRESS OF INSTITUTION ATTENDED

(i) Name of institution ………………………………………………………
(ii) Postal Address:……………………………………………………………
(iii) Telephone No. ……………………………………………………………
(iv) E-Mail:………………………………………………………………
(v) Fax ………………………………………………………………
(ii) Location ………………………………………………………………
(iii) Period (e.g. 2000-2003): ………………………………………………….
(iv) Faculty: ………………………………………………………………
(v) Course/Programme ………………….…………………………………..

5. LAST SCHOOL ATTENDED IN UGANDA (Where Applicable):

………………………………………………………………………………………………
………………………………………………………………………………………………
……………………………… (attach separate sheet if necessary)
6. DATE OF LEAVING SCHOOL …………….……………………..……………

7. HIGHEST CLASS ATTENDED ………………………………………………..

8. DURATION OF:
(a) Primary Education ………………………………………..………….….
(b) Secondary Education …………………………………………………….
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9. UGANDA CERTIFICATE OF EDUCATION OR EQUIVALENT
(a) Year of examination: ……………………………………………………
(b) Results: ……………………………….……………………………...........

10. UGANDA ADVANCED CERTIFICATE OF EDUCATION OR EQUIVALENT

(a) Year of examination: …………………………………………….…........
(b) Result: …………………………………………….…….….
………………………………………………………………………………
………………………………………….….(Attach photocopies of results)

11 ADMISSION
(a) Year of admission to university or college …………….……...……….
(b) Qualifications considered to merit admission …………...……………

……………………………………………………………………………………
……………………..
……………………………………………………………………………………
……... (attach separate sheet if necessary)
(c) Duration of a degree course ……………….……………………………

……………………………………………………………………………………
…………………….……… ……. (attach separate sheet if necessary)
(d) Type of award …………………………………………………………….
……………………………………………………………………………………
…………………………...……… (attach separate sheet if necessary)

12. DID YOU HAVE LEARN FOREIGN LANGUAGE BEFORE YOU WERE
ADMITTED FOR THE COURSE? ………….………….… YES/NO

13. IF SO? HOW LONG DID YOU TAKE TO LEARN THE LANGUAGE …….
………………………………………………………………………………………

14. IF YOU WERE NOT ADMITTED TO A UNIVERSITY IMMEDIATELY AFTER

COMPLETING SECONDARY EDUCATION, STATE COURSES OR
EMPLOYMENT YOU HAD PRIOR TO ADMISSION.
………………………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………………attach
separate sheet if necessary)

15. SPONSORS OF YOUR SCHOLARSHIP …………………………….…………

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

16. DID YOU AT ANY TIME CHANGE YOUR COURSE WITHOUT CONSULTING
YOUR SPONSOR? IF SO STATE THE REASON(S)
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………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
……………..…. (attach separate sheet if necessary)

17. ENCLOSURES:
(a) Uganda Certificate of Education (UCE) or its equivalent
(b) Uganda Advanced Certificate of Education (UACE) or equivalent
(c) Preparatory course document or certificate (both in foreign language and
in English where applicable.
(d) Degree or diploma certificate (both in foreign language and in English
where applicable).
(e) Other certificates
……………………………………………………………………………………
…………………………………………………………………………
……………………………………………………………………………………
……………………………………........................................................
(f) Transcript
(g) Curriculum/course content
(h) Copy of thesis or synopsis of dissertation (for Masters and Ph.D. holders)

18. I HEREBY SOLEMNLY DECLARE THAT-

(a) The above information is true to the best of my knowledge; and
(b) All documents forwarded to the National Council for Higher Education
truly belong to me.

Signature:……………………………………….. Date: ………………………..

19. DESIGNATION OF OFFICER REPRESENTING EMPLOYER …………….

Signature:……………………………………….. Date: ……..………………….

20. OFFICIAL STAMP OR SEAL (for employed applicants)

*Delete whichever is inapplicable.