APPLICATION FOR ADMISSION Uganda MaRtyRs

TO UNDERGRADUATE PROGRAMMES
It is essential that you complete all relevant sections of this form. This
will ensure efficient processing of your application. Complete the form
University
in BLUE or BLACK ink. Please use CAPITAL Letters.
FILL ALL THE 12 SECTIONS IN THIS APPLICATION FORM AND ATTACH
THE PREMIER CATHOLIC
ALL THE REQUIRED DOCUMENTATION.SECTION 13 IS THE PROCEDURE
OF GENERATING A CODE FOR PAYMENT OF THE APPLICATION FEES.
UNIVERSITY IN UGANDA
1. PERSONAL DETAILS
Surname/Family name:
(as on birth certificate/passport)
First/Given names:

Title: Sex: Male Female

(Mr/Mrs/Miss/Ms/Dr/Rev) Please attach a recent
Date of Birth: passport photograph
(DD-MMM-YYYY)
Country of Birth:

Country of Residence:

Nationality: Religion:

2. CHOICE OF PROGRAMME AND STUDY TIME

Indicate your preference PROGRAMME, specifying whether for DAY, EVENING, WEEKEND, DISTANCE
1st Choice (e.g. Bachelor of Laws) OR use a Programme Code (LLB)

2nd Choice

3rd Choice

3. CHOICE OF CAMPUS AND INTAKE

Indicate your preferred CAMPUS, specifying whether for JANUARY or AUGUST INTAKE
MAIN CAMPUS January in-take August in-take
LUBAGA CAMPUS January in-take August in-take
MASAKA CAMPUS January in-take August in-take
MBALE CAMPUS January in-take August in-take
FORT PORTAL CAMPUS January in-take August in-take
NGETTA CAMPUS January in-take August in-take

This completed form and all supporting documents should FOR REGISTRY USE ONLY
reach the university not later than December 21st for
January intake and July 31st for August intake of the Faculty Decision
year you are seeking admission, and should be sent to: Application Number
The Registrar, Uganda Martyrs University,
Course
P.O. Box 5498, KAMPALA, Uganda - or to the Uganda
Martyrs University Campuses in Nkozi, Masaka, Mbale,
Nsambya, Ngetta, Fort Portal or Lubaga.
FURTHER INFORMATION VIISIT: www.umu.ac.ug
Received date:
OR CALL: Tel: +256 (0) 393215696 / +256 382 410611 /
+256 (0)782924509

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4. ADDRESS
Home (Permanent) Address Correspondence Address
(if different from Home Address)
Postal Address: Postal Address:
(street address or post box) (street address or post box)

Postcode: Postcode:
(where available) (where available)
City/Town: City/Town:

Country: Country:

Telephone: Telephone:

Cell phone: Cell phone:

Fax: Fax:

Email: Email:

5. PREVIOUS EDUCATION
ATTACH PHOTOCOPIES OF THE UGANDA ADVANCED CERTIFICATE OF EDUCATION (UACE), UGANDA
CERTIFICATE OF EDUCATION (UCE) OR THEIR EQUIVALENT AND ANY OTHER ACADEMIC QUALIFICATIONS.

UACE UCE ANY OTHER ACADEMIC QUALIFICATION

6. EMPLOYMENT INFORMATION (Especially Distance Learning applicants)

Employer Position and Work Carried Out Dates
(include address and country)
From To

7. EQUAL OPPORTUNITY
Please indicate any medical condition you may have that may require adjustments to be made to the curriculum or
the teaching environment.
None Unseen disability e.g. Chronic conditions

Dyslexia Blind/partially sighted

Deaf/hearing impaired: Others indicate below:

Wheelchair user / mobility difficulties

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8. ENGLISH LANGUAGE COMPETENCY
English is the language of instruction at Uganda Martyrs University. It is therefore imperative that all students have a
good command of the English Language. Students who do not have a good command of English may be required to
undertake a remedial English course (given by the University every July) prior to enrolling in the University.
Please indicate your level of competency in English.
Speaking Reading Writing
Fluent
Adequate
Basic

Do you have any English Language Qualifications? Yes No

(such as TOEFL or a University degree in which instruction was in English)

If Yes, Which Qualification?

Date of Final Examination:

9. SOURCE OF INFORMATION
How did you learn about Uganda Martyrs University, and the programme(s) you are applying for?

Print Advertisement Internet Search / University Website

Radio / TV Advertisement Social Media

Current Student / Alumni Open Day

School Talk / Guidance Counselor Other (State Below)

10. REFERENCES
Please provide the name of one person who is aware of your academic or professional ability and can support your
application by providing a reference.
NOTE: Referees cannot be related to you in any way.

Name of Referee:

Address:

City/Town:

Country: Postcode:

Cell phone: Telephone:

E-mail: Fax:

11. DECLARATION
I confirm that the information given on this
form is to the best of my knowledge true, correct and accurate.

Signature of Applicant: Date:

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12. PERSONAL STATEMENT
Please provide a short statement indicating why you wish to undertake this programme (your first preference).

13. GENERATING A CODE FOR PAYMENT OF THE APPLICATION FEES:

You must be connected on the Internet in order to access any WEB BROWSER of your choice -
Mozilla Firefox; Google Chrome, Microsoft Explorer - You can access using your SmartPhone.

1. Visit: zeepay.umu.ac.ug/ - this takes you to a page with UMU logo,

2. Enter: Your full name; email address; mobile number,

3. Click: CONTINUE BUTTON - you move to another page with a list of items,

4. Select: Item No. 10. Application Fees in the item list - you will see it displayed on the right
side of the screen,

5. Click: CONTINUE BUTTON - you move to Zeepay Payment Advice Slip,

6. Copy: The Zeepay Ref: (e.g.) 49BB8DDD86D4B or Print the Advice Slip,

7. Take: The number to any of the Banks indicated on the Advice Slip (Add the bank charges),

8. Attached: The slip you will receive from the Bank on your Application Form and Submit to
any of our Campuses indicated.

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