CATHOLIC UNIVERSITY OF RWANDA

CATHOLIC UNIVERSITY
OF RWANDA
REG. NUMBER
OFFICE OF THE REGISTRAR
Application form
…………..……
PHOTO
STANDARD
ACADEMIC YEAR
FICHE D’INSCRIPTION
REGISTRATION FORM
Day program
................................
Evening program
Week end program
1.
IDENTIFICATION DE L'ETUDIANT - STUDENT IDENTIFICATION
Nom / Name:
Prénom / First name:
Nom du Père / Father’s Name:
Nom de la Mère / Mother’s Name:
Nom du Tuteur / Tutor’s Name:
2.
DATE DE NAISSANCE / BIRTH DATE
Naissance / Birth date
DD
MM
YY
Cellule/Cell
Secteur / Sector
District
Province
3. ETAT CIVIL – CIVIL STATUS
Célibataire Marié(e)
Nom du conjoint / Name of Spouse
Single
Married
4. CONTACTS
E – mail / Courriel
5.
Téléphone Personnel / Personal Phone
Pays / Country Nationalité / Nationality
Nom de la congregation/congregation
Tel de Personne de contact / Tel of
Reference person
District de Résidence /
Residency District
INSCRIPTION A L’UCR – ENROLMENT AT CUR
CATEGORIE DE L’ETUDIANT / CATEGORY OF STUDENT
FACULTE /
FACULTY (1)
DEPARTMENT
MINERVAL / Tuition Fees
6.
2
INTERNATIONAL
STUDENT
FULL-TIME
STUDENT
PART-TIME
STUDENT
FREE
AUDITOR
Bordereau No
Payment Slip No
ETUDES SECONDAIRES – SECONDARY SCHOOL
CLASSE TERMINALE
LAST CLASS
ANNEE SCOLAIRE
SCHOOL YEAR
BULLETIN 6eme
Senior 6 reports
CERT/ DIPLOME OBTENU
CERTIFICATE / DIPLOMA
ETUDES SUPERIEURES – HIGHER INSTITUTION
UNIVERSITY/
INSTITUTE
LEVEL
1
NATIONAL
STUDENT
Frais d’ Inscription
Registration Fees
ETABLISSEMENT- SCHOOL
7.
(2)
3
4
5
6
LAST
LEVEL / YEAR
ACADEMIC YEAR
CERTIFICATE / DIPLOMA
7
8. SIGNATURE DE L’ETUDIANT – STUDENT SIGNATURE
RESERVED FOR REGISTRATION DEPARTMENT
Je certifie que les informations fournies ci haut sont authentiques
I certify that supplied information is on record
Place of Registration desk: ……………………………………….
Signature:
Name: …………………………………………………………………..
…………/………../ ………
Signature:
AUDI ET AUDE
NOTICE:
(1) (2) Faculties and Departments acronyms
FACULTY
Faculty of Catechesis and
Religious Sciences
Faculty of Science and
Technology
Faculty of Commerce
Faculty of Public Health and
Human Nutrition
Faculty of Social Work
Faculty of Education
ACRONYMS
FCRS
FST
FCOM
FPHHN
FSW
FED
DEPARTMENT
Catechesis
Religious Sciences
Applied Mathematics & Physics
ACRONYMS
CAT
RS
AMP
Management & Accounting
Commercial Engineering
Public Health
MAC
CENG
PH
Biotechnology
Computer Science
Human Nutrition
Welfare & Social Development
Child & Family Studies
Educational Management and
Planning
Didactics
BT
CS
HN
WSD
CFS
EMP
DT