UTC Kyema Diploma Application Form 2024/25

UGANDA TECHNICAL COLLEGE KYEMA

5 KM MASINDI - KIGUMBA ROAD

P.O BOX 473 MASINDI, UGANDA

Tel: +256 465 423 396

Email: ugatechkyema@yahoo.com

Website: www.utckyema.ac.ug
Office of the Academic Registrar

APPLICATION FORM FOR DIPLOMA PROGRAMS UNDER PRIVATE SPONSORSHIP SCHEME 2024/2025 INTAKE
PART I: Applicant's Bio-data

Personal Information
1. Full Name*

SurnameOther Names
2. Gender*
3. Date of Birth *

DayMonthYear
4. Telephone Number*
5. E-mail Address
6. Marital Status*
7. Religious Affiliation (if any)*
8. Citizenship*
9. Postal Address*
10. Information on Applicant’s Parent/Guardian*

Parent/ Guardian's Full Name

Relationship (e.g: father, mother, uncle, ....)

Home VillageDistrict

Tel. ContactCountry

PART II: Available Programs

Select a choice of program to apply for in order of preference

The college offers the following 2 year National Diploma Programs

No.	Course Name	Code	Duration
1.	National Diploma in Civil Engineering	NDCE	2 years
2.	National Diploma in Electrical Engineering	NDEE	2 years
3.	National Diploma in Water Engineering	NDWE	2 years
4.	National Diploma in Mechanical Engineering	NDME	2 years
5.	National Diploma in Architecture	NDA	2 years
6.	National Diploma in Information and Communication Technology	NDICT	2 years

First Choice*
Second Choice
Third Choice
7. Will you be Resident or a Non-Resident student? *
Note: Once enrolled, change of residence status can only be granted if requested by a parent/guardian in writing at the beginning of a new academic year.

PART III: Education Background

You must attach a copy of each of the academic documents.
Uganda Certificate of Education (UCE)/ Uganda Junior Technical Certificate (UJTC)
Center*
Year of Exam*
File Upload *

Upload UCE/ UJTC Certificate
Cancelof
Uganda Advanced Certificate of Education (UACE)/ Advanced Craft or National Certificate (AC-NC)
Center*
Year of Exam*
File Upload *

Upload UACE/ AC-NC Certificate
Cancelof
Other Qualification Attained (Degree/Diploma/Certificate/ or its equivalent) if any

Institution Attended

Qualification Attained

Class of AwardDate and Year of Award

Zip Code
File Upload

Upload Other Qualification Attained Certificate
Cancelof
Position of responsibility held while at school/College

PART IV: Referees and Work Experience

Give two names of responsible persons from whom confidential information may be obtained about you if needed.
Referee 1*
Referee 2
Employment record if any:

PART V: Declaration of Applicant

I declare to the best of my knowledge, that the information given above is correct
Please verify that you are human*
NOTE: Applicants are strongly warned that presentation of forged or other people’s academic documents in support of their application will automatically lead to disqualification and prosecution in the courts of law.

Academic Registrar: 0772 383391 WhatsApp: 0780 681139 ICT Desk: 0782 158712
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