Online Application Form

APPLICATION FOR ADMISSION

	Personal Identification
Last Name (*)	Invalid Input
First Name (*)	Invalid Input
Date of Birth (*)	Invalid Input
Home Address	Invalid Input
City (*)	Invalid Input
Home Phone (*)	Invalid Input
Cell Phone (*)	Invalid Input
Email (*)	Invalid Input
Country of Residence (*)	Invalid Input
Country of Citizenship (*)	Invalid Input
Marital status (*)	Invalid Input
First or Native language (*)	Invalid Input
Other languages	Invalid Input
I plan to begin study in (*)	Invalid Input
I plan to study (*)	Invalid Input

	Previous Schools
High school attended (*)	Invalid Input
Location and Address of High School	Invalid Input
Have you attended any post secondary schools since you last attended EASU (*)	Invalid Input
If yes Name and Location Program of Study Degree or certificate obtained and Address	Invalid Input

	STUDENT DECLARATION
	1. I certify that the information provided on this application form is accurate and complete and that no information has been withheld. I understand that falsifying or omitting documents and information will result in immediate permanent dismissal from East Africa Star University (EASU). Falsified documents may be referred to the appropriate authorities for prosecution of the applicant under the Penal Code of Burundi. Completion of this application grants EASU permission to transfer information required for all university services and those of the ministry of higher learning.
	2. I understand that East Africa Star University expects its students to respect appropriate and decent lifestyle and exercise mature judgment in their personal, social, and academic decisions.
	3. I agree that, if admitted as a student of East Africa Star University, I will endeavor to the best of my ability to support and further the vision and mission of EASU. I agree that, if admitted as a student of EASU, I will abide by the policies and regulations of EASU as stated in its official publications and as amended by EASU administration.
	4. I understand that I must submit ALL required documents, including the application fee, before my application will be evaluated by the admissions office and that completing an application does not guarantee acceptance to EASU.
Date (*)	Invalid Input

	Academic Choices
Faculty (*)	Invalid Input
Department (*)	Invalid Input
	Major
Faculty of Science and Technology Bachelor of Medical Studies 3Years	Invalid Input
Bachelor of Computer Science 3Years	Invalid Input
Bachelor of Agricultural Science 3Years	Invalid Input
Diploma 2 Years	Invalid Input

	APPLICATION DOCUMENTS
Application Form	Invalid Input
Additional Information Sheet	Invalid Input
Copy of Passport or Citizenship Card	Invalid Input
Transcripts of High School or University	Invalid Input
	Proof of Application Fee Payment
15000 BIF for East African Citizens	Invalid Input
30 USD for International Applicants	Invalid Input

	Emergency Contact Information
Names (*)	Invalid Input
Relationship (*)	Invalid Input
Address	Invalid Input
Your Home Phone (*)	Invalid Input
Cell Phone Number (*)	Invalid Input
Email Address (*)	Invalid Input

	Personal introduction Please tell us a little about yourself You can include information on your career and personal goals interests skills community involvement and accomplishments
Fill your Details	Invalid Input

	Recommendations two academic recommendations and one professional recommendation required Download recommendation form and send it to the person you want to get recommendation from It should be returned to the University in a sealed envelope with or without your application package

	IMPORTANT NOTE: Application fees are to be paid to the following bank account: Name: East Africa Star Project Bank : Banque de Crédit de Bujumbura Account Nr : 201-0090677-29/BIF

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