MOLO UNIVERSITY
Student registration form
Instructions:
Fill the blank areas. Areas marked with * must be filled before submitting.
Basic information
First name:*
Surname :*
Second name:*
Select sex:*
Select sex
Male
female
Country of origin:*
Select country
Kenya
Uganda
Egypt
Congo
Germany
Ethiopia
Rwanda
Date of birth: *
Phone number:*
Write a statement that describes the type of learning environment you'd want:
Select a statement that best describes your interest to join us:
Very interested
Interested
Moderately interested
Select the study area(s) of interest:
Science
Technology
Education
Agriculture
arts
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