Online Application Please enable JavaScript in your browser to complete this form.Academic Year of Admission *UIAHMS/2020Course Application Year!Name *FirstMiddleLastPhone Number *Email *Please enter your email, so we can follow up with you.Postal Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth Macedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountrySex / Gender *MaleFemaleBasic Diploma Courses (Please Select your First Choice). Please note, if you select course in this field don't select for Post Basic or certificate below *Please Select CourseOrthopedic TechnologyClinical and Community NutritionDental TechnologyPublic Health DentistryMedical Entomology and ParasitologyOrthopedics MedicineOccupational TherapyPhysiotherapyMedical RadiographyPharmacyMedical Laboratory TechnologyMedical Records and Health InformThis section is only for Basic Diploma Courses on private Sponsorship Scheme. Select the appropriate courseBasic Diploma Courses (Please Select your Second Choice). Please note, if you select course in this field don't select for Post Basic or certificate below *Please Select CourseOrthopedic TechnologyClinical and Community NutritionDental TechnologyPublic Health DentistryMedical Entomology and ParasitologyOrthopedics MedicineOccupational TherapyPhysiotherapyMedical RadiographyPharmacyMedical Laboratory TechnologyMedical Records and Health InformThis section is only for Basic Diploma Courses on private Sponsorship Scheme. Select the appropriate courseBasic Diploma Courses (Please Select your Third Choice). Please note, if you select course in this field don't select for Post Basic or certificate below *Please Select CourseOrthopedic TechnologyClinical and Community NutritionDental TechnologyPublic Health DentistryMedical Entomology and ParasitologyOrthopedics MedicineOccupational TherapyPhysiotherapyMedical RadiographyPharmacyMedical Laboratory TechnologyMedical Records and Health InformThis section is only for Basic Diploma Courses on private Sponsorship Scheme. Select the appropriate coursePOST BASIC COURSE INFORMATION (Tick the Appropriate box). Please note, if you select course in this field don't select for Basic Course or certificate.AnesthesiaEar, Nose and Throat and Neck SurgeryHealth Management and LeadershipHealth Counselling and Social careAudiologyEnvironmental Health SciencesHealth Promotion & EducationThis section is only for Post Basic Courses on private Sponsorship Scheme Through Upgrading Scheme.CERTIFICATE COURSE INFORMATION(Please Select your First Choice). Please note, if you select course in this field don't select for Basic Course or Post Basic. *Please Select CourseEnvironmental Health SciencesMedical Records and Health InformaticsPharmacyThis section is only for Certificate Courses on private Sponsorship Scheme. Select the appropriate courseCERTIFICATE COURSE INFORMATION(Please Select your Second Choice). Please note, if you select course in this field don't select for Basic Course or Post Basic. *Please Select CourseEnvironmental Health SciencesMedical Records and Health InformaticsPharmacyThis section is only for Certificate Courses on private Sponsorship Scheme. Select the appropriate courseADMISSION ENTRY SCHEME *Private EntryMature EntryBursaryEducation Background *FirstMiddleLastFirstMiddleLastFirstMiddleLastFirstMiddleLastEmployment/Work Background *FirstMiddleLastFirstMiddleLastFirstMiddleLastDisabilities and Special NeedsYesNoDo You have any disability? If yes, what type of disability/special need ?If yes, Reason!Medical InformationYesNoDo You have any chronic infection? If yes, what infection?If yes, Reason!Funding and Sponsorship Information *In one InstallmentIn Two InstallmentsIn Three InstallmentsHow do you plan to pay your fees?Attach Passport Photo, Academic Documents or Practicing License (for Post Basic Programmes) and Payment Slip * Click or drag files to this area to upload. You can upload up to 6 files. Please Note: Applicants you're required to pay a non-refundable application fee of 55,000/= to institution account: STANBIC BANK, WANDEGEYA BRANCH, ACCOUNT NUMBER: 9030005948451. For Post Basic Programmes, Please attach your practicing licenseDeclaration *I agree to UIAHMS terms and conditionsI hereby declare that the information given above is true to the best of my knowledge and any case(s) of wrong information and impersonation whenever discovered will lead to automatic cancellation of the admission.PhoneSubmit
