Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Academic Year of Admission *UIAHMS/2025Academic 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 CodeUgandaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland 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)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint 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 MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountrySex / Gender *MaleFemaleNext of Kin name *FirstMiddleLastNext of Kin Phone Number *Basic 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 LeadershipAudiologyEnvironmental 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 SciencesPharmacyTheater AssistantsThis section is only for Basic Diploma 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 SciencesTheater AssistantsPharmacyThis section is only for Basic Diploma Courses on private Sponsorship Scheme. Select the appropriate courseADMISSION ENTRY SCHEME *Private EntryLoan schemeBursaryThis section is only for Post Basic Courses on private Sponsorship Scheme Through Upgrading Scheme.Education 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?Co-Curricular activities at School *SportsDramaAttach certificates if anyCandidate should attach copies of the following Certificate Programs: O-level passlip Former school I.D A copy of application payment receipt Current passport colored photo Birth certificate Basic Diploma Programmes: O-level Passlip & Certificate Alevel Passlip Former school ID Birth certificate Extensors O'level passlip and certificate UAHEB or UNMEB Transcript UAHEB or UNMEB certificate Registration certificate from relevant professional body A copy of application payment receipt Current clored passport photo Upload all necessary files here * Click or drag files to this area to upload. You can upload up to 10 files. Please Note: Applicants you're required to pay a non-refundable application fee of 65,000/= 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.EmailSubmit
