Jeph International University Kampala, Uganda • Online Application Form Applicant Details Full Name How did you come to know about us? — Select — Google Social Media TV Ads Radio Ads Email Address Phone Number WhatsApp Number Date of Birth Gender Education Level — Select — O Level / Equivalent A Level / Equivalent Certificate Diploma Degree Other Address Program Selection Program Category — Step 1: Select Category— Degree Diploma Certificate Program — Step 2: Choose Program — Payment Details Payment Method — Select — Bank Deposit Mobile Money I have already paid (upload slip) Application Fee Upload Payment Slip Documents Upload Educational Documents (Required) Passport Photo Consent Declaration I have provided accurate and complete information. I understand this information is used for admission processing. I agree uploaded documents may be verified. Submission of this form does not automatically confirm admission. The process includes verification of documents and other relevant information. I confirm all documents are genuine. I consent to receive official communication via Email/Phone/WhatsApp. For Mobile Money (Uganda students only): the application fee of UGX 60,000 is payable after you receive your School Pay Code. Bank Deposit (National): BANK NAME: BANK OF AFRICA ACCOUNT NAME: INDIAN INSTITUTE OF HEALTH AND ALLIED SCIENCE ACCOUNT NO: 02741960008 BRANCH: BUSINESS CENTER SWIFT: AFRIUGKA CURRENCY: 60,000 UGX(Application Fee) Bank Details For International Students (USD) Bank Name: Bank of Baroda (U) Ltd Account Name: Indian Institute of Health and Allied Sciences Account No: 95150200000275 Branch: KOLOLO Currency: 21 USD (Application Fee) Swift Code: BARBUGKAM I have read and agree to the above declaration. Submit Application
