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APPLICATION FORM FOR ADMISSION TO MASTERS PROGRAMMES Have you been registered previously with ULK Master programme YES PHOTO NO If YES what was your previous Student Number A. LANGUAGE SKILLS Did you use English in undergraduate program Yes No If Yes how many years All the 4 years The two first years The two last years How do you estimate your ability to use English Excellent Very Good Listening Good Fair Speaking Reading Writing HLI Higher Learning Institution One year First Job title From To Institution name Second Job title Third Job title E. CHOICE OF CANDIDATE Chosen program SECTION Day Evening Weekend F. MODALITIES OF TUITION FEES PAYMENT Do you have sponsor Yes If yes fill information about your sponsor Sponsor name My sponsor is My Employer My parent Other organization If No how are you planning to pay All amount in unique payment In two equal installments In four equal installments In six equal installments Monthly NB To this application form certified copies of undergraduate degree and transcripts photo copy of NID or Passport 2 passport photos proof of payme nt of RWF 30 000 deposited on given bank accounts for admission fees and other relevant and supporting documents must be attached. If you have to be sponsored the sponsorship statement has be attached too. Bank accounts to be used BANK NAME ACCOUNT NUMBER ACCOUNT TITLE Bank of Kigali BK 040-0201556-23 Universit Libre de Kigali ULK ECOBANK 101-22568-01-12 RWIGAMBA BALINDA/VCULK BCR 0014031-01-77 KCB 4400464725 ULK KIGALI CAMPUS ACCESS BANK 1002100101066601 UNGUKA BANK Ltd 224-2902392-07 ULK/ Universit Libre de Kigali I testify that all information given here above is true. Name signature and date For the office use only Observations Decision Names and signatures of members of commission Member 1. CANDIDATE PREVIOUS EDUCATION Title of Last Degree from HLI Year of starting the program Year of program completion Name of delivering HLI Country Website C. LANGUAGE SKILLS Did you use English in undergraduate program Yes No If Yes how many years All the 4 years The two first years The two last years How do you estimate your ability to use English Excellent Very Good Listening Good Fair Speaking Reading Writing HLI Higher Learning Institution One year First Job title From To Institution name Second Job title Third Job title E. CHOICE OF CANDIDATE Chosen program SECTION Day Evening Weekend F. MODALITIES OF TUITION FEES PAYMENT Do you have sponsor Yes If yes fill information about your sponsor Sponsor name My sponsor is My Employer My parent Other organization If No how are you planning to pay All amount in unique payment In two equal installments In four equal installments In six equal installments Monthly NB To this application form certified copies of undergraduate degree and transcripts photo copy of NID or Passport 2 passport photos proof of payme nt of RWF 30 000 deposited on given bank accounts for admission fees and other relevant and supporting documents must be attached. If you have to be sponsored the sponsorship statement has be attached too. Bank accounts to be used BANK NAME ACCOUNT NUMBER ACCOUNT TITLE Bank of Kigali BK 040-0201556-23 Universit Libre de Kigali ULK ECOBANK 101-22568-01-12 RWIGAMBA BALINDA/VCULK BCR 0014031-01-77 KCB 4400464725 ULK KIGALI CAMPUS ACCESS BANK 1002100101066601 UNGUKA BANK Ltd 224-2902392-07 ULK/ Universit Libre de Kigali I testify that all information given here above is true.

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