Primary Information / Amakuru y'ibanze

First Name / Izina *

Other Names / Andi mazina *

Email *

Telephone *

Gender /Igitsina *Select GenderMale / GaboFemale / Gore

Date of Birth / Italiki y'amavuko *

Ubudehe/Ikiciro cy'ubudehe *select Ubudehe/Ikiciro cy'ubudeheOption 1Option 2

Do you have medical insurance? Ufite ubwishingizi bwo kwivuza? *YES/YegoYES/YegoNO/Oya

Next of Kin's phone/ Nomero ya telefoni yundi muntu wabonekaho

Your insurance/mutuelle number/Nomero y'ikarita yawe y'ubwishingizi *

Relation with the next of Kin / Isano ufitanye n'umuntu wabonekaho *Select relation with the next of kin/HitamoFather/PapaMother/MamaBrother/Musaza wanjyeSister/Mushiki WangeGuardian/Undi Muntu UnderaWife/Umugore WangeHusband/Umugabo wange

Year of application/Umwaka wasabiyeho *

Country/Igihugu cyawe *Select Yor Coutry/HitamoOption 1Option 2

National ID Number* Nomero y'irangamuntu

Province/Intara *Select Province/IntaraCity of Kigali – Umujyo Wa KigaliEastern Province – IburasirazubaNorthern Province – AmajyaruguruSouthern Province – AmajyepfoWestern Province – Iburengerazuba

District Akarere *Select Province/IntaraBugeseraGatsiboKayonzaKireheNgomaNyagatareRwamagana

Sector/Umurenge *Select Sector/UmurengeGashoraJuruKamabuyeMarebaMayangeMusenyiMwogoNgerukaNtaramaNyamataNyarugengeRilimaRuhuhaRweruShyara

Cell/Akagari *Select Cell/AkagariJuruKabukubaMugororeMusovuRwinume

Village/Umudugudu *Select…GisengaJuruKamudongoKimanaKwisokoMikingaMiyagaMusimbiNyabombeNyabugogoNyakabungoRubariroAyabakizaBisagaraNyamigendeRugaramaRwamakaraTwabagarama

Disability/Ufite Ubumuga *Select Disability/Ufite UbumugaPhysical Disability/Ubumuga bw’ingingoTalking/Bwo kutavugaEye Sight/Bwo kutabonaHearing/Bwo kutumvaNone/Ntabumuga rifite

Past Academics / Amashuri wize

Type of Education/ Ibyo wize *SelectTVET/IPRC/ImyugaGeneral Education/Ubumenyi rusange

Last year at school/Umwaka igihe uheruka Kwiga *

Level of Education attained/Icyiciro cy'amashuri wagarukiyemo *Select your maximum level of education/ Urwego rw'uburezi wizeOption 1Option 2

Name of School Attended/Izina ry'ishuri wizemo

Area of Specialization/Ishami wize

Marks/Grade obtained/ Amanota wabonye

Attachments / Kur'uyu mugereka omekaho ibi bikurikira

Upload a copy of Valid health insurance card/ Omekaho kopi y'ikarita y'ubwishingizi mu kwivuza *

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Upload a copy of Certificate / Kopi y'impamyabumenyi ufite *

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Upload a copy of National ID / Passport / Fotokopi y'irangamuntu *

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Upload a certificate of Residence / Icyemezo cyaho utuye *

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Application Choices / Hitamo ibyo wifuza guhugurwamo

First Choice Program *Select programMilk handling and processing of diary products/Gutunganya amata no gukora ibiyakomokahoMeat processing and marketing/Gutunganya ibikomoka ku nyama z’amatungo no kubicuruzaAir conditioning and refrigeration for vegetables and animal products/Gukoresha ibyuma bitanga ubuhere no gukonjesha imbogo n’ibokomoka ku matungoMaintenance and repair of industrial procesing machines/Kubungabunga no Gusana imashini zo mu nganda z’ibiribwaForage production and marketing/Guhinga ubwatsi bwamatungo na kubivangaAnimal feed production and formulation/Gukora ibiryo by’amatungo na kubivangaPoultry farming (Layers and Broilers)/Korora inkoko z’itera amagi n’inkoko zitanga inyamaVegetables and potato production and processing/ Guhinga imboga n”ibirayi no kuboyongerera agaciroOperation, maintenance, and repair of farm machinery/Gukoresha, Kubungabunga no gusana imashini zikoreshwa mu buhinzi

Motivation for the choice *

If you have any agribusiness, at what stage?SelectBusiness IdeaPrototypeStart upOperational BusinessNone

Second Choice Program *Select courseMilk handling and processing of diary products/Gutunganya amata no gukora ibiyakomokahoMeat processing and marketing/Gutunganya ibikomoka ku nyama z’amatungo no kubicuruzaAir conditioning and refrigeration for vegetables and animal products/Gukoresha ibyuma bitanga ubuhere no gukonjesha imbogo n’ibokomoka ku matungoMaintenance and repair of industrial procesing machines/Kubungabunga no Gusana imashini zo mu nganda z’ibiribwaForage production and marketing/Guhinga ubwatsi bwamatungo na kubivangaAnimal feed production and formulation/Gukora ibiryo by’amatungo na kubivangaPoultry farming (Layers and Broilers)/Korora inkoko z’itera amagi n’inkoko zitanga inyamaVegetables and potato production and processing/ Guhinga imboga n”ibirayi no kuboyongerera agaciroOperation, maintenance, and repair of farm machinery/Gukoresha, Kubungabunga no gusana imashini zikoreshwa mu buhinzi

Motivation for the choice *

If you have any agribusiness, at what stage?SelectBusiness IdeaPrototypeStart upOperational BusinessNone

Third Choice Program *Select courseMilk handling and processing of diary products/Gutunganya amata no gukora ibiyakomokahoMeat processing and marketing/Gutunganya ibikomoka ku nyama z’amatungo no kubicuruzaAir conditioning and refrigeration for vegetables and animal products/Gukoresha ibyuma bitanga ubuhere no gukonjesha imbogo n’ibokomoka ku matungoMaintenance and repair of industrial procesing machines/Kubungabunga no Gusana imashini zo mu nganda z’ibiribwaForage production and marketing/Guhinga ubwatsi bwamatungo na kubivangaAnimal feed production and formulation/Gukora ibiryo by’amatungo na kubivangaPoultry farming (Layers and Broilers)/Korora inkoko z’itera amagi n’inkoko zitanga inyamaVegetables and potato production and processing/ Guhinga imboga n”ibirayi no kuboyongerera agaciroOperation, maintenance, and repair of farm machinery/Gukoresha, Kubungabunga no gusana imashini zikoreshwa mu buhinzi

Motivation for the choice *

If you have any agribusiness, at what stage?SelectBusiness IdeaPrototypeStart upOperational BusinessNone

Submit Application