ultimate multimedia training application for

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ULTMATE MULTIMEDIA TRAINING Excelling in New Media Journalism and Multimedia Communicating Plot: 189,Gaga Road, NEXT to Green Valley Hotel. P.O Box.36665 Kampala Tel :+25641459355 +256752627676 +256782195095 Web: www.ultimatemultimediatraining.net E-mail: [email protected] APPLICATION FORM Please, type or print clearly: Surname_______________________________________________________________________________ First name_______________________________ Middle name_________________________________________ Date of birth:______________________________ Sex: male female country_________________________________Phone:_________________________________ e-mail:________________________________________________________________________ Next of Kin Name_________________________________________________________________________ Address___________________________________Mobile_______________________________ Email__________________________________________________________________________ Name and address of Company (for those employed)/Name of current school/university (for those studying ) skip if not applicable: ___________________________________________________________________________________ Position/course: ____________________________________________________________________ Phone:_____________________________________Fax:_____________________________________ Summary of academic background Dates of attendance University (High school) Qualification obtained Passport photo

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  • ULTMATE MULTIMEDIA TRAINING Excelling in New Media Journalism and Multimedia Communicating

    Plot: 189,Gaga Road, NEXT to Green Valley Hotel.

    P.O Box.36665 Kampala Tel :+25641459355 +256752627676 +256782195095 Web: www.ultimatemultimediatraining.net E-mail: [email protected]

    A P P L I C A T I O N F O R M

    Please, type or print clearly:

    Surname_______________________________________________________________________________

    First name_______________________________ Middle name_________________________________________

    Date of birth:______________________________ Sex: male female

    country_________________________________Phone:_________________________________ e-mail:________________________________________________________________________

    Next of Kin Name_________________________________________________________________________ Address___________________________________Mobile_______________________________ Email__________________________________________________________________________

    Name and address of Company (for those employed)/Name of current school/university (for those studying ) skip if not applicable:

    ___________________________________________________________________________________

    Position/course: ____________________________________________________________________

    Phone:_____________________________________Fax:_____________________________________

    Summary of academic background

    Dates of attendance University (High school) Qualification obtained

    Passport photo

  • My intended Course(s) at UMC:

    __________________________________________________________________

    Motivation Please indicate why you intend to pursue the course chosen

    Declaration: _______________________________________________________________________ I declare that all the information to this application are complete and accurate to the best of my knowledge including the information on my academic background. I have been informed on the regulations of admittance to the UMC and on the tuition fee. I am prepared to timely cover the expenses of studying and attending the course. Date: ____________________________________ Signature ___________________________ The following are required for your application:

    1. This application form: completed, printed and signed.

    2. Colour photographs, passport size.

    3. Photocopy of your relevant academic documents.

    4. Payment of 20,000 application fee

    More information For more information about application procedure and admission requirements please visit our website- www.ultimatemultimediatrainin.net/application or contact Student Registration Office hours:9:00am 17:00pm( Monday to Friday) Phone:+25641459355/ 0782195095/070195095 E-mail: [email protected]

    APPLICATION FORMPosition/course: ____________________________________________________________________Summary of academic backgroundMotivation