YMCA KAMPALA BRANCH

YMCA COMPREHENSIVE INSTITUTE

P.O. Box 2871
TEL: 0414233294 / 0414232856 Kampala, Uganda
YMCA e-mail:info@ymcakampala.org
www.ymcakampala.org

APPLICATION FORM
Surname: __________________________________________________ Date: _________________

Other Names:______________________________________ Sex: Male Female

Age (Years): _____________________ Nationality: _____________________

Marital Status: Single Married:

Highest Education Qualification Attained. ___________________________________ Year: ________

Course selected in order of preference: Diploma Certificate Elementary

Choice Course Code Course Name Study Session
st
1 Choice
2nd Choice
3rd Choice

Personal contacts / Telephone: ____________________________Email Address: _________

Person to contact / Next of Kin/Sponsor: ________________________________

Name: _______________________________________ Telephone: _________________

Educational Background of the applicant.
Name of the School: Year Award Grade/Division

Note: This form should be returned immediately after filling. THE ADMISSION LETTER WILL BE READY
FOR PICKING AFTER 2 DAYS FROM THE DATE OF RECEIVING OF THIS FORM.

It is your personal responsibility not to give false document (s) or incomplete information in support of
this application. False information may lead to automatic cancellation or discontinuation if discovered at
any future date: Signature of Applicant ___________________________

For Official Use Only:

Admitted: Rejected: Pending:

Remarks:________________________________________________________________

Registration Number: _____________________________________________________

Official Sign: ___________________________________Date: ____________________
(Note: Please attach the photocopies of your Academic Results & admission fee receipt of 10,000/=.
(See over-leaf for more details)
 TUITION FEES AND OTHER CHARGES (AUGUST/SEPTEMBER,2014 INTAKE)
a. Functional Fees paid once by each New Student
i. Registration Fee 25,000/-
ii. Development Fee 35,000/-
iii. Guild Fee 7,500/-
iv. Identity Card 10,000/-
v. Library Fee 12,500/-
vi. First Aid Services 10,000/-
vii. Examination Fee 20,000/-
Sub - Total 120,000/-

b. The charge to be paid separately (new students only) into the bank using a separate (NCHE) bank slip.
NCHE National Council for Higher Education Fee 20,000/-

c. List Of Courses and Tuition Fee Per Quarter as for August/September,2014 intake.
COURSE COURSE Study DIPLOMA CERTIFICATE
CODE Session Per Per Quarter
Quarter
BAG Business Administration (General) A/E 300,000/- 280,000/-
BAM Business Administration (Human Resource Management) A/E 300,000/- ____
BAF Business Administration (Banking and Finance) A/E 300,000/- ____
ACC Accountancy A/E 300,000/- 280,000/-
PLM Procurement & Logistics Management (Purchasing &Supply mgt.) A/E 300,000/- 280,000/-
SEC Secretarial and Administrative Studies A/E 300,000/- 280,000/-
COS Cosmetology / Hair Dressing A 300,000/- 280,000/-
CS/IT Computer Science/Information Technology A/E 300,000/- 280,000/-
ECD Early Childhood Development Teacher Education (Nursery Teacher Edu) A 310,000/- 290, 000/-
ECDD Early Childhood Development Teacher Education (Distance Educ.) HD 380,000/- _____
HIC Hotel and Institutional Catering / Elementary Catering *M/A* 320,000/- 300, 000/-
TTM Travel and Tourism Management E 300,000/- 280, 000/-
CCF Customs, Clearing and Forwarding A 300,000/- 280, 000/-
FAD Fashion Designing / Elementary Tailoring *M/A* 300,000/- 280, 000/-
GCD Guidance and Counselling *A/E* 300,000/- 280, 000/-
PPM Project Planning and Management E 300,000/- 280, 000/-
JMC Journalism and Mass Communication A 320,000/- 300, 000/-
IAD Industrial Art and Design A 320,000/- 300, 000/-
EIE Electrical Installation and Engineering A 320,000/- 320, 000/-
ELA English Course for Adult Learners M/A _____ 250,000/-

Note: Hostel fee (female only) includes Accommodation and Meals = 480,000/- per quarter

KEY: (A = Afternoon Session), (E = Evening), ( M = Morning), (HD = Distance-holiday program)

 = Study session vary depending on whether Diploma or Certificate Program hence obtain
clarity.