CHANCERN INTERNATIONAL RWANDA

Scholarship & Student Support Programme

STUDENT APPLICATION FORM

Reference Number: generated automatically upon submission

1. Applicant Information

Surname (Family name) *

First name *

Gender *

Male Female

Date of birth *

Phone number *

E-mail *

Country *

District *

Sector *

Cell *

Disability *

No Yes

The information for 2 Guarantors / Referees

Guarantor 1

Full name *

Relationship to applicant *

Phone number *

National ID number *

Address (District/Sector/Cell) *

Guarantor 2

Full name *

Relationship to applicant *

Phone number *

National ID number *

Address (District/Sector/Cell) *

2. Academic Information

What did you study in Secondary School? *

Which programme do you want to study? *

3. Supporting Documents

Please merge the following into a single PDF file before uploading:

A notarized copy of the Advanced GCE / A-Level Results Slip (for 2026 completers)
A copy of National Identity Card

Upload combined document (PDF, max 5MB) *