Apply Online - Certificate Courses at Nsambya Training School

Online Application Form – Certificate Courses at St. Francis Hospital Nsambya Training School

Note: *For Required Fields that Apply not to you, Kindly Fill in N/A (Not Applicable)

Certificate Courses – Online Vacancy Application Form

Apply to Study Medical Certificate Courses at St. Francis Hospital Nsambya Training School listed below; 1. Certificate in Nursing (CN) 2. Certificate in Midwifery (CM) 3. Certificate in Medical Laboratory Technology (CMLT)

Name *

First

Middle

Last

Username *

Applicant’s NTS Admissions Portal Account Username (Unique ID)

Sex *

Email *

Applicant’s Valid Email Address

Applicants Telephone Contact *

Format: +2567XXXXXXXX

Date of Birth *

Format: MM/DD/YYYY

Nationality *

Tribe *

Religion *

Marital Status *

No. of Children

Place of Birth *

District *

County *

Sub-County *

Village *

Next of Kin of Kin *

Full Names

Next of Kin's Contact *

Format: +2567XXXXXXXX

Certificate Course – 1st Choice

First Choice of Course of Study at St. Francis Hospital Nsambya Training School

Certificate Course – 2nd Choice

Second Choice of Course of Study at St. Francis Hospital Nsambya Training School

O'Level Institution *

Name of School Attented

District *

UCE Index No. *

UCE Year of Sitting *

Format: YYYY

UCE Aggregates in Best 8 *

All Subjects & Grades Obtained at UCE *

Include all Subjects in Format: eg. Biology – D1, Chemistry C3, Mathematics D2,…

Any Other Institution / Course Attended

Include Name of School, Year of Completion & Qualification

Father's Name

Include Full Name

Mother's Name

Include Full Name

Father's Telephone Contact

Format: +2567XXXXXXXX

Mother's Telephone Contact

Format: +2567XXXXXXXX

Father's Occupation

Mother's Occupation

Father's Residential Address

Mother's Residential Address

Father's Email Address

Mother's Email Address

Father's Permanent Address & Postal Address

Mother's Permanent Address & Postal Address

Guardian's Name

Include Full Name

Guardian's Telephone Contact

Format: +2567XXXXXXXX

Guardian's Occupation

Guardian's Residential Address

Guardian's Permanent Address & Postal Address

Name, Telephone Contact and Address of Your Financial Sponsor (Person or Institution) *

Include Full Name and Telephone Contact in Format: +2567XXXXXXXX

Application Fees Payment Method *

Bank Deposit
Mobile Money
Cash Payment (To School Bursar)

Include a Scanned Copy of Pay Slip, Receipt or Bank Slip While Uploading Attachments.

Payment ID *

For Proof of Payment of Application Fees Type Pay Slip / Bank Slip / Receipt Number or Transaction ID

Declaration by Applicant *

Applicant Should Type Their Full Name, Include Date and their Email Address.

I confirm that the information given on this form is correct to the best of my knowledge. *

Agree
Disagree

Confirm by Checking the Box