Application Form
St. Elizabeth’s Institute of Health Professionals Mukono (SELIHEP) is a medical tertiary training institute licensed by the Ministry of Education, Science, Technology and Sports and recognized by the Ministry of Health of Uganda. The over fifteen year old institute ranks in performance, among the leading medical tertiary institutions in Uganda.
NB: Please study this form carefully before completing it.
       Direct entrants should not complete section 8

1. APPLICATION INFORMATION (USE CAPITAL LETTERS)
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Student Name *
Contact *
District *
Course Applied *
Date of Birth *
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DD
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Sponsor *
Contact *
Address *
Official Communication : Application Fees is Ugx 50,000/= payable at the time of application of the form. Please make sure to pay for the application form to be considered. For more details

NB: Please Make sure to download the Application form from the website and fill it in, then scan and submit to the above email: muchi_uganda@yahoo.com
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