Online Registration
UWMF
PERSONAL INFORMATION
Entry Date *
Student Name *
Gender *
Male
Female
Contact Tel. *
Contact E-mail*
Whatsapp No. *
Date of Birth *
National Identification Number *
Passport Number*
Village *
Parish *
Sub-county *
District *
Emergency Contact
Contact Person *
Tel. *
Relationship *
Education Backgraound
A-Level School for UACE *
A-LEVEL Index No. *
A-LEVEL: Year Completed *
A-LEVEL: Points/Aggregate Scored *
O-LEVEL SCHOOL *
O-LEVEL Index No.*
O-LEVEL: Year Completed *
O-LEVEL: Points/Aggregate Scored *
Primary School *
Primary: Index No. *
Primary: Year Completed *
Primary: Points/Aggregate Scored*
School Fees History
A-Level Fees paid by? *
Relationship to person who paid fees at A-Level*
Contact of person who paid fees at A-Level *
Fees per term at A-Level *
Person who paid fees at O-Level *
Relationsip of person who paid fees at O-Level *
Tel. of person who paid fees at O-Level *
fees per term at O-Level *
Person who paid fees at P7*
Relationship of Person who paid fees at P7 *
Tel. of person who paid fees at P7 *
Fess per term at P7 *
Schoolaship Category
Course *
Bachelor of Information Technology
Bachelor of Business & Management
Bachelor of Theology & Mission Studies
Diploma of Information Technology
Diploma of Business & Management
Diploma of Theology & Mission Studies
Academic Year *
Schedule Time *
Day Time
Evening
Monthly
Weekend
Holiday Program
Intake *
Intake *
Full scholarship
Chancellor’s Bursary
WMF Bursary
Father's Details
Father's Name *
Father's Date of Birth *
Is Father Dead or Live *
Alive
Dead
Village of Father*
Parish of Father*
Sub-county of Father*
District of Father *
Nationality of Father *
Country of Residence of Father *
Father's Highest level of Residence *
Primary
O-Level
A-LEVEL
College Education
Bachelor's Degree
Masther's Degree
Phd
Father's Job *
Postal Address of Father *
Contact of Father *
Mother
Mother's Name *
Mother's Date of Birth *
Is mother Dead or Live? *
Alive
Dead
Village of Mother*
Parish of Mother*
Sub-county of Mother*
District of Mother *
Nationality of Mother *
Country of Residence of Mother *
Mother's Highest level of Residence *
Primary
O-Level
A-LEVEL
College Education
Bachelor's Degree
Masther's Degree
Phd
Mother's Job *
Postal Address of Mother *
Contact of Mother *
Family Social-Economic Situation
How many biological brothers do you have? *
How many biological sisters do you have? *
Brothers' age brackets? *
Sisters' age brackets? *
Biological Sisters & Brothers at School *
Who pays for them fees? *
At what stage in the term is fees paid? *
Dependency Information
Number of dependants in your family *
Age brackets of dependants in the family *
How are they related to you *
How many dependants are attending school? *
How many dependants aren't attending school? *
Social Aspects/Details
Where do family members usually go for medical care? *
Government health centre/hospital
Private Clinic/Hospital
Missionary health facility
Use Herbs
Buy medicine in Pharmacy
Have Insurence Policy
Have a private-family doctor
Source of food for the family *
Subsistance Farming
Commercial Farming
Market
Shop
Any
Supermarket
Source of Water *
Public Well Water
Tap Water
Spring Water
Borehole
Own Well Water
What do you use as lightL *
Kerosene
Electricity
Biogas
Fuel Type *
Permanent (brick walls, concrete and corrugated roof)
Semi-permanent (walls of mud and wattle, and corrugated roof)
Temporary (walls of mud and grass thatched)
What do you use to cook?*
Charcoal
Gas
Electricity
Firewood
Biogas
How big is your land? *
Which of these possessions do you have? handset/telephone, Bicycle, TV, Moyorcycle
Confidential Information
Whom do you trust most? *
Tel. of 1st Confidential Person*
Address of 1st Confidential Person*
2nd Confidential Person *
Tel. 2nd Confidential Person *
Address of 2nd Confidential Person *
Verification of Information Provided
LC1 Chairperson *
LC1 Tel. *
LC3 Chairperson *
LC3 Tel. *
Referee & Tel. Contact *
Which talen(s)? *
Do you agree to our terms? *
Yes
No
Your application was submitted, thank you!
