<p> MAKERERE UNIVERSITY P.O. Box 7062 Kampala-Uganda Tel: +256-414-4534343/4530231-2</p><p>Cables: “MAKUNIKA” Fax: +256-414-4534125/4541771 Email: [email protected]</p><p>OFFICE OF THE ACADEMIC REGISTRAR</p><p>Applicant’s APPLICATION FORM FOR ADMISSION TO THE Current Passport Right hand BACHELOR OF EDUCATION (EXTERNAL) Photograph DEGREE PROGRAMME FOR Thumb Print 2014/2015 ACADEMIC YEAR</p><p>(i) This form should be completed and submitted to the Academic Registrar (Admissions) Makerere University. (ii) Each candidate MUST attach copies of the ‘O’, A’Level Certificates (or their equivalent) and a Certified copy of the relevant Diploma Transcript from the Awarding Institution. (iii) Each candidate MUST attach the original receipt for payment of the application fee. (iv) Names should be those that appear on the ‘O’, A’Level and Diploma Certificates/Transcripts. (v) Applicants who hold 3rd Class or Pass Diplomas need not apply since they do not meet the admission requirements. 1. Surname (Block letters) …………………………………………………………………………………………………. 2. Other names (as they appear on the academic documents) ……………………………………………………….. 3. Date of Birth (DD …….MM ……….YY………) 4. Place of birth ………………………………………….. (Attach a copy of the birth certificate) 5. Home District …………………………………… 6. Nationality ……………………………………….</p><p>7. Marital status ………………………… 8. Male Female 9. Present contact Address……………………………………………………………………………………………….. 10. Permanent address …………………………………………………………………………………………………….. 11. Tel. No. …………………………………………………….. E-mail ………………………………………………….. 12. Give full details of all Education qualifications obtained (a) Uganda Certificate of Education or its equivalent INDEX NO. ………………………..YEAR OF EXAMINATION ………………………………………… No. of Distinctions ………. … No. of Credits ……………. No of Passes …………. (b) Uganda Advanced Certificate of Education or its equivalent 2 INDEX NO. ………………………………………. YEAR OF EXAMINATION …………………………… SUBJECT GRADE SUBJECT GRADE</p><p>(c ) Other qualifications (Use additional sheet if necessary) ………………………………………………………………………………………………… …………………………………………………………………………………………………</p><p>13. Grade II Teacher’s Certificate (if applicable) College(s) attended Dates From To From To</p><p>Year of Award ……………………………Registration Number ………………………………………… 14. Grade III Teacher’s Certificate (if applicable) College(s) attended Dates From To From To</p><p>15. Grade V Teacher’s Certificate (if applicable) College(s) attended Dates From To From To</p><p>Class of Diploma …………………………………….. Registration Number …………………………………</p><p>Note: ATTACH CERTIFIED PHOTOCOPIES OF THE CERTIFICATES AND TRANSCRIPTS FOR THE ABOVE QUALIFICATIONS 16. Employment Record Employer Post Held Dates From To From From To</p><p>17. Possible Subject Combinations (a) Candidates are expected to choose subjects by ticking the appropriate box from one of the following sets: A, B, and C at the attached Appendix. (b) Since B.Ed. (External) is an in-service programme, candidates are expected to continue with the subjects they did at Diploma level. 18. It should be NOTED by all applicants that cases of impersonation, Falsification of Documents or giving false/incomplete information whenever discovered either at Registration or afterwards 3 will lead to automatic CANCELLATION of admission and prosecution in the Uganda Courts of Law. 19. Declaration by the applicant I have noted and understood the implication of giving incorrect information, I confirm that the information given on this form, to the best of my knowledge, is correct.</p><p>Signature of applicant …………………………………………… Date ……………………………………..</p><p>APPENDIX</p><p>Available Subject Combinations for the Bachelor of Education (External) Degree Programme, for the 2014/2015 Academic year.</p><p>A. Subjects for those with Secondary Background</p><p>ELX GEX GEX ELX ELX MUX MUX REX LLE GEX LTX HSX KSX KSX LLE GEX REX HSX HSX REX</p><p>GEX LLE LTX KSX LTX POE POE POE MUX HSX MAD LLE REX KSX REX LLE HSX GEO REX HSX KSX GEX</p><p>B. Subjects for those teaching in Primary Teachers’ Colleges and Primary Schools</p><p>MAM SST IPS SST MUX MUX MUX MAM DAG DAG LEX IPS LEX MAM SST LEX MAM IPS LEX IPS</p><p>DAG DAG SST MAM</p><p>C. Subjects to be offered as Double Main (Secondary) </p><p>ART & DESIGN BUSINESS EDUCATION MUSIC AGRICULTURE</p><p>KEY</p><p>ELX English Language Studies REX Religious Studies LTX Literature MAM Mathematics Primary GEX Geography MAD Mathematics (Secondary) HSX History LEX Language Education KSX Kiswahili LLE Luganda DAG Agriculture MUX Music 4 POE Political Education SST Social Studies IPS Integrated Primary Science</p>