Application Form – St. Elizabeth Institute of Health Professional Mukono

ST.ELIZABETH’S INSTITUTE OF HEALTH PROFESSIONALS - MUKONO

Licensed by Ministry of Education and Sports and Recognized by Ministry of Health

P.O. BOX 189 MUKONO (Uganda)
+256-414-290392 /+256-782730328
+256-0701-328204
Email: muchi_uganda@yahoo.com or info@selihep.ac.ug
Website: www.selihep.ac.ug

APPLICATION FORM FOR ACADEMIC YEAR 2024/2025.

NOTE : Please study this form carefully before completing it.

FILL IN APPLICATION INFORMATION (USE CAPITAL LETTERS)

Full Name *

Type your full names as they appear on your academic documents

Tel-Phone *

Other Tel-Phone

Intakes *

Nursing and Midwifery certificate courses are available for intake in both January and July, whereas other courses have intake only in July.

Select Entry Level

What Course would you like to apply for!

Dates of Application *

Date of Birth *

Email *

Gender *

Address: Home village (LC1) *

District *

Nationality

Country

Father's Name *

Phone Number *

Address

Mother's Name *

Phone Number *

Address

Sponsor's Name *

Phone Number *

Address

Required Documents
---------------------------
1.All Certificate Courses:

-UCE
-Former school ID

2.All Diploma Courses:

-UCE
-UACE
-Former school ID

Upload Academic Documents *

Drop your file here or click here to upload You can upload up to 1 files.

Scan and merge all your academic documents, then upload them as a single PDF file not exceeding 5 MB.

Application Fee payment of (Ugx : 50,000) Steps

Application Fee payment procedure

Mobile Payment Method (Mtn and Airtel)

If you'd like to pay the application fee using mobile money (MTN or Airtel).
Steps to pay:
For Airtel
--------------------------

1.*185#
2.Select school fee
3.Select school pay
4.Pay school fee
5.Enter school Code
6.Enter Amount
7.Please confirm your name and School Name before entering Pin
8.Enter Pin

For MTN
--------------------------

1.*165#
2.Select school fee
3.Select school pay
4.Pay school fee
5.Enter school Code
6.Enter Amount
7.Please confirm your name and School Name before entering Pin
8.Enter Pin

We'll review your application and send you the student Payment code on email or via SMS to complete the transaction.

For Bank User: Select bank to use

Stanbic Bank
Centernary Bank

You can only use Stanbic or Centernary Bank. write your Full Name you used on application and student payment code given by the institute on Bank deposit slip when paying

Declaration

Yes, I agree that all the information provided in this form is 100% Correct

Your application will be kept on hold until we receive your application fee (50,000 UGX). It will only be processed once the fee is paid. Please note that fees once paid will not be refundable under any circumstances.

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