UCA | Application Form

Student Registration Form | UCA
Fill out the form carefully for registration

---- September Intake | 2024----

Name

First Name Middle
Last name Age
Gender
Date of Birth

MonthDayYear
Phone Number (255)
Please enter a valid phone number.
Email
example@example.com
Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Application for Admission Information
Application Type

March Intake 2024
Select campus

Mnazi mmojaTemeke
Admission Application For

CertificateDiploma
Course Applied For
Academic details
Name of Secondary School *
Name of High School
FORM IV index No
S.1921/0000/2023
FORM VI index No
S.1921/0000/2025
File Upload | VI Certificate Or Result slip

Cancelof
File Upload | IV Certificate Or Result slip

Cancelof
File Upload | Birth certificate

Cancelof
If you are a transferree from another college or university, please fill out the fields below:
Name of College Attended
Course Taken
Academic Year Attended
Next of kin
Name

First NameLast Name
Phone Number (255)
GUARDIAN Information
Name of Guardian

First NameLast Name
Guardian /Job
Relationship
Phone Number (255)
Name of Guardian

First NameLast Name
Guardian /Job
Relationship
Phone Number (255)