Central Equatoria Portal

First Name *

Last Name *

Date of Birth *

Gender *

National ID Number *

Phone Number *

Email Address *

Home Address *

Current School/University *

Current Grade/Year *

GPA/Average Grade *

Intended Field of Study *

Academic Achievements & Awards

Financial Need Statement *

Personal Essay *

Academic Transcripts *

National ID or Birth Certificate *

Recommendation Letters (optional)

Passport Photo *