Bronia Institute Registration Form

Student Application

Fill in all fields carefully to aid us process your application.
Applicant's Name*

First NameMiddle NameLast Name
Passport Size Photo*
Birth Date*

MonthDayYear
Address*

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry of Birth
Your E-mail*
Your Phone Number*
Format: (000) 000-000000.
Alternative Phone Number
Format: (000) 000-000000.
Nationality*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
ID type
ID Number
Choose a Academic Programme*
Preferred Intake*
How did you hear about us
English Qualification*
Name of Sponsor
Phone Number of Sponsor
Format: (000) 000-000000.
Upload Academic Documents*

Supported format pdf, docx and doc)
Cancelof
Please verify that you are human*
I acknowledge to the best of my knowledge that the information given in this application form is true, complete and accurate and no information requested or other material information has been omitted and if i am admitted to Bronia Institute of Technology, I undertake to observe the institution's regulations.
I give my consent to the processing of my data by the institution. I accept that if I do not comply with these requirements, the institution shall have the right to cancel my application and I shall have no claim against the institution in relation there to.
I accept to pay a non refundable amount of UGX 50,000 to aid the institute process my application.
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Student Application