(Other country)

Parish/Ward/TB

Sub-county/Division/TC

Village/cell

HQ/Main Location

District/Municipality

PO Box

Country

(Other country)

Postal Address

Email Address *

Email address is required for online applications

Traditional/Surname *

What best describes your situation? *

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Other Names (optional)

Religious/Given Name *

(If not in Uganda, use nearest equivalent administrative units instead of village, parish etc.)

Description of organisation if  not covered by the options on the left

Name of organisation *

Town/City

Country

Full Name of primary contact person *

District(s) where the organisation is significantly active

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Personal email address

Work email address

friend's email address