Your Name
Student Number
Registration Number
University / Institution MAKEREREMUBSUMIUCUUMIMUSTKYAMBOGOUGANDA MARTYRSGULUBUSITEMAUTAMUVICTORIAEAST AFRICAIUIUBUGEMAIUEANDEJJEKAMPALAKIUCAVENDISHKABALECLARKE INTNKUMBABISHOP STUARTMUTEESA ROYALMETROPOLITANOther Institution
If you selected Other Institution, Write it down bellow;
District
Registered Cohort —Please choose an option—1st Cohort2nd Cohort
NIN Number
Account Number
Account Name
Bank Name
Your Email
MTN Contact
AIRTEL Contact
I confirm, The above details identify me Yes, I confirm, The above details identify me. Thank You
