Application Form - TECH Uganda

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National ID Card

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Payment Modes and Methods

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Cash payment

Split payment

Deadlines

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Credit card

Account

Internship program Pulmonology

Start: to choose

Cash price

UGX 25,715,714

Installment price

UGX 12,023,302 of tuition + 5 fees of UGX 3,613,424

Total amount

Initial payment

Installment fees