WORLD RESILIENCE UGANDA
REGISTRATION FORM FOR RETURNEES
Processing… please wait
Website
Name of Applicant
Date of Birth
Applicants must be 12 years or older.
Sex
Female
Male
Telephone Contact
+256
Enter a Ugandan number starting with 0 (10 digits). Example: 0789123456
Email address
Email is compulsory. Please make sure it is correct — your confirmation will be sent here.
Level of Education
Select...
No Education
Primary Level
O Level Secondary
A Level Secondary
Technical
Higher Education
Diploma
Above All
Do you have any physical disability?
Yes
No
Mention the physical disability
Passport No
Foreign Country Visited / Worked in
Date of Returning
Reason for returning
What did you use the money earned for?
Are you a breast feeding mother?
Yes
No
State number of years/months of the child
Select...
Less than 2 weeks
Less than 3 months
Less than 6 months
Less than 1 year
Less than 2 years
Above 2 years
Have you ever had an entrepreneurship training?
Yes
No
Are you a member of any Cooperative Society?
Yes
No
State it
How many days can you spare for the training?
Select...
Always available
Less than 2 days a week
Other
State number
CURRENT PLACE OF RESIDENCE
Village / Ward
District / Municipality / City
Attach a copy of your passport
PDF, JPG, JPEG, PNG only. Max size 15 MB.
Attach a copy of your Entry Visa
PDF, JPG, JPEG, PNG only. Max size 15 MB.
Attach a copy of your Exit Stamp
PDF, JPG, JPEG, PNG only. Max size 15 MB.
Submit
