Cybernet Computer &

Security (U) Ltd

P.O. Box 27183, Kampala
Bridging Digital Divide www.ccsug.net | training@ccsug.net Current
Tel: +256 702167620 / +256 763328931 Passport Photo

Training Application Form

Personal Information:
Names of Applicant:
Gender: Male Female Phone#:
Email:

Date of Birt: Nationality:

Current Address:

Next of Kin / Emergency contact.

Name: Tel: Relationship:

Current Education:
Primary Secondary Collage University

Resources Available:
Laptop, Other Equipment:

Career program (Job path Aspiring for)

o Design. o Personal Development. o Programming
o Development. o Business. o Technical
o Marketing. o Photography. o Fashion.
o IT and Software o Music. o Sports.

What’s your plan after College / University.

The applicant form should be submitted once all sections have been fully complete with accompanying
documents attached.
What to send to the foundation:
i) A signed and completed application form with a registration fee of 20,000 UGX
ii) Copies of all secondary, post-secondary, college and university certificates.
iii) One (1) recent passport size photograph

Conformity: I ,the under signed agree to comply with the company and
institution terms, conditions and policies. I will be held responsible in occurrences of violation.

Applicant Signature:
Learn, Connect, Get exposed.