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BIO DATA, ADDRESS AND CONTACT DETAILS
First Name:
Other Names:
Occupation
Student
Teacher
Other
Gender
Male
Female
Date of Birth:
Tel -
Country of residence
Uganda
Foreign Country
If Ugandan, Enter your district. If foreign, leave unselected.
District / Region:
Select District from this drop down list
ABIM
ADJUMANI
AGAGO
ALEBTONG
AMOLATAR
AMUDAT
AMURIA
AMURU
APAC
ARUA
BUDAKA
BUDUDA
BUGIRI
BUHWEJU
BUIKWE
BUKEDEA
BUKOMANSIMBI
BUKWO
BULAMBULI
BULIISA
BUNDIBUGYO
BUSHENYI
BUSIA
BUTALEJA
BUTAMBALA
BUVUMA
BUYENDE
DOKOLO
GOMBA
GULU
HOIMA
IBANDA
IGANGA
ISINGIRO
JINJA
KAABONG
KABALE
KABAROLE
KABERAMAIDO
KALANGALA
KALIRO
KALUNGU
KAMPALA
KAMULI
KAMWENGE
KANUNGU
KAPCHORWA
KASESE
KATAKWI
KAYUNGA
KIBAALE
KIBOGA
KIBUKU
KIRUHURA
KIRYANDONGO
KISORO
KITGUM
KOBOKO
KOLE
KOTIDO
KUMI
KWEEN
KYANKWANZI
KYEGEGWA
KYENJOJO
LAMWO
LIRA
LUUKA
LUWERO
LWENGO
LYANTONDE
MANAFWA
MARACHA
MASAKA
MASINDI
MAYUGE
MBALE
MBARARA
MITOOMA
MITYANA
MOROTO
MOYO
MPIGI
MUBENDE
MUKONO
NAKAPIRIPIRIT
NAKASEKE
NAKASONGOLA
NAMAYINGO
NAMUTUMBA
NAPAK
NEBBI
NGORA
NTOROKO
NTUNGAMO
NWOYA
OTUKE
OYAM
PADER
PALLISA
RAKAI
RUBIRIZI
RUKUNGIRI
SERERE
SHEEMA
SIRONKO
SOROTI
SSEMBABULE
TORORO
WAKISO
YUMBE
ZOMBO
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Security Question:
1 - What is your worst fear?
2 - What is the name of your place of birth?
3 - In which district was your primary school?
4 - What is your favorite food?
5 - What is your mother's maiden name?
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