IAL-U ONLINE APPLICATION FORM (IAL-U/AP/001) Please fill out the form below numbered 1 to 10 and after click submit. We shall review your application and quickly get back to you through your email or telephone contacts. Thank you for your interest to study with Us. 1. LEVEL OF ENTRY – Tick appropriately: *Diploma (2 years)National Certificate (2 years)Short CourseCourse of Interest:: *2. PERSONAL INFORMATIONSurname: *First/Given Name: *Other Names:Gender: *MaleFemaleNationality: *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweDate Of Birth: *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923District: *Religion: *Physical Address: *Marital Status: *SingleMarriedSeparatedDivorcedTelephone No.: *WhatsApp No.:Email: *International Contact:3. NEXT OF KIN DETAILSNext of Kin 1Name: *Telephone: *Next of Kin 2Name: *Telephone: *4. HOW DID YOU LEARN ABOUT THE INSTITUTE OF ADVANCED LEADERSHIP:If you were referred to IAL-U by someone, please give us his/her contact details so that we can send a thank you message.Name:Telephone:Email Address:5. DESIRED MODE OF STUDY:Weekdays:Weekend:Online6. ACADEMIC QUALIFICATIONSUganda Certificate Education (UCE) or its equivalentSchool: *Index Number: *Year of Examination: *Uganda Advanced Certificate Education (UACE) or its equivalentSchool: *Index Number: *Year of Examination: *For Students applying for Diploma without UACE, please fill the details of its equivalent here.Institution Name:Registration No.:Qualification:CGPA:Class of Award:NB. ALL STUDENTS WITH INTERNATIONAL QUALIFICATIONS ARE REQUIRED TO EQUATE THEIR ACADEMIC DOCUMENTS TO UGANDA EQUIVALENCE TO BE FULLY ADMITTED7. ATTACHMENTSUpload Official Identification Documents (eg. ID, Passport, Refugee Card): *Choose FileNo file chosenDelete uploaded fileUpload Passport Photo (White Background Preferred): *Choose FileNo file chosenDelete uploaded fileUpload Academic Documents (Compulsory for Diploma and National Certificate Applicants):Choose FileNo file chosenDelete uploaded fileOther Attachments Where Necessary:Choose FileNo file chosenDelete uploaded file8. DATA PROTECTIONThe information contained in this application will be used for the purpose of processing your application and if you are admitted, will form part of your Institute of Advanced Leadership student record. All data is held and processed in accordance with the requirements of the law, and within the limits agreed with the Institute of Advanced Leadership Data Protection Officer.9. DECLARATIONI certify that the information given in this application is accurate and complete. I understand that the submission of inaccurate information may be sufficient cause for refusal of admission or termination of registration.Name: *Date: *10. CLICK "SUBMIT" BELOW TO COMPLETE APPLICATIONI certify that the information given in this application is accurate and complete. I understand that the submission of inaccurate information may be sufficient cause for refusal of admission or termination of registration.SUBMIT APPLICATIONSave as Draft