NCHE FORM 5
Plot M834, Kigobe Road,
P. O. Box 76,
KYAMBOGO,
KAMPALA, UGANDA ,
TEL : 0393-262140
E-Mail: info@unche.or.ug
THE INSTITUTIONS AND OTHER TERTIARY INSTITUTIONS ACT,
2001
APPLICATION FOR A CERTIFICATE OF CLASSIFICATION AND
REGISTRATION
(Fill all items on this form and append attachments wherever possible, use a typewriter or capital
letters. Hand in 10 copies)
1. NAME OF THE PRIVATE TERTIARY INSTITUTION:
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2. ADDRESS OF THE INSTITUTION
(i) Postal Address: ………...……………………………………………….
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(ii) Fax Number: ………..………………………………..
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(iii) E-Mail: …………..………………………..
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(iv) Website: …………………………………….…………...
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(v) Telephone Lines:….....……...........…….…....Mobile:….……...
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3. DATE WHEN A PROVISIONAL LICENCE OR PERMISSION TO
OPERATE WAS FIRST GIVEN (attach a photocopy of the licence or
permission)
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4. LOCATION AND LAND
(i) State the location of the institution
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(ii) The amount of land owned by the institution (attach a copy of
the land title(s)):
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(iii) Amount of land in the current use:
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necessary)
(iv) Amount of land for future use:
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(v) Year(s) when all above pieces of land were obtained:
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(iv) If the land occupied by the institution is leased or rented, provide
a copy of the agreement.
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5. INFRASTRUCTURE SUPPORTING THE DELIVERY OF HIGHER
EDUCATION
A. Buildings - State the total square metres of the following buildings:
(i) Classrooms ……........................
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(ii) Libraries …........................
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(iii) Science laboratories .....…................……..
….................…….
(iv) Computer laboratories ….…......................
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(v) Staff houses …….........................
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(vi) Number of staff houses …….........................
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(vii) Total area of administrative staff ……..................................
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(viii) Total area for staff
use ..............................................……………..
(ix) Main Building/Administrative...... .......... ................................
…………… (x) Student welfare offices
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(xi) Health Clinic/Sick Bay area ..................................................
…....………..
(xii) Hostel/Dormitory area ………………………………………………
(xiii) Meeting Hall area ..............………................................
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(xiv) Provide a master plan of your campus showing how buildings
relate to one another to create an attractive academic
atmosphere
B. Ground, physical infrastructure and services/utilities
(i) Area of playgrounds …………………………..
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(ii) The types of playgrounds available (e.g. tennis courts,
swimming pool etc.)
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(iii) Area of empty space (and within the campus dedicated to
aesthetic and recreation use) …………………………...
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(iv) Total mileage of roads and paths within the campus
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(v) What are the sources of water for the institution?…………………
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(vi) Indicate the sources of power used?
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(vii) Do you have land suitable for agriculture? If so, how many
acres?……………………………………………………...
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C. Transport - State the number and registration of vehicles the institution
has:
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separate sheet if necessary)
6. EDUCATIONAL FACILITIES IN PLACE
(i) Total number of Library books.
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(ii) Total number of textbooks
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(iii) Dates of publication of the majority of books (give in blocks of
dates, 1960s, 1970s, 1980s, 1990s, 2000s etc.
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(iv) Total number of computers for student use………...
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(v) Total number of computers in the Library……………..
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(vi) Total number of computers for academic staff
use……………………………
(vii) Total number of computers for administration
……………………………….
(viii) What library computer programme do you use to search and
retrieve materials in the library and resource centres?
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(ix) State whether students have access to computers to locate
reading materials in the
library………………………………………………………….
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(x) Does the institution have access to internet?
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(xi) State the number of seats in the:
(a) Libraries ………………………………………
(b) Classrooms (lecture halls) ...
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(c) Laboratories ……...
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(d) Administration Block ………………………………………
(xii) What facilities for student accommodation do you have?
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7. ACADEMIC STAFF
(i) How many full time academic staff does the
institution have
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(ii) How many full time academic staff does institution intend to
have
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(iii) Give the name and qualifications of each of the full-time
academic staff.
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necessary)
(iv) State the number of the institution’s part-time staff.
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(v) Give the name and qualifications of each of the part-timer
academic staff.
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necessary)
(vi) How many of the following does the institution have
(a)Ph.D holders (itemize the disciplines in which they are
qualified)
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(b)Master (itemize disciplines in which they are qualified)
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(c) Bachelors
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necessary)
(d)Diploma holders
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necessary)
(e) Average staff/student ratio:
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(f) Staff/student ratio for each of the programmes
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necessary)
(g)Staff overload (i. e. workload in hours per week)
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8. ADMINISTRATIVE AND SUPPORT STAFF
(i) How many administrative staff do you have?
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(ii) How many support staff do you have?
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(iii) Please give the names, qualifications and gender of the following
officers of your Institution.
(a) All members of your Council
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NCHE FORM 5
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necessary)
(b) All members of the Senate
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necessary)
(c) The Chairperson of the Governing Council
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(d) The Vice Chairperson of the Governing Council
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(e) The Principal
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(f) The Academic Registrar
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(g) The Heads of each of the academic divisions you have
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necessary)
(h) Members of Academic Board
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NCHE FORM 5
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………………..(attach a separate sheet if necessary)
9. OWNERSHIP OF THE INSTITUTION
Please indicate the owners of the institution, clearly stating how their
control (e.g. representation on the Council, Senate, appointments
etc):
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10. FINANCES AND THEIR MANAGEMENT
(i) What other assets, besides land and buildings, does the institution
own?
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separate sheet if necessary)
(ii) What is the annual budget of the institution?
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(iii) Attach the previous financial year's accounts audited by a
certified
accountant………………………………………………………………………
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(iv) Fees structure
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………………………………………………… (attach a separate sheet if
necessary) (v) How much is the percentage of the budget derived
from fees
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(vi) State other sources of income that support the institution
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NCHE FORM 5
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separate sheet if necessary)
(vii) What is the annual budget of the institution?
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(viii) How much of the budget is given to:
(a) Infrastructure development ...
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(b) Research and development .
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(c) Computer hard and software …………..…………………………
(d) Science laboratory equipment ……….
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b. Staff development
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c. The library ……………………..………………..
d. Staff salaries? ………………………….
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(viii) Who are your current Bankers?
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necessary)
10. VISION AND MISSION OF THE INSTITUTION
(i) What is the vision of the institution?
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(ii) What is the mission of the Institution?
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(iii) What are the specific objectives of the institution?
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Provide a logo of the institution
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NCHE FORM 5
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(iv) Attach a strategic plan of the Institution
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(vi) What programmes of study does the institution offer?
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necessary)
(vii) What is your area of competence where you have done better
than other institutions?
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necessary)
(viii) What are the future planned programmes and when will they
start?
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necessary)
12.STUDENT POPULATION
(i) Total number of students the institution has
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(ii) Programme distribution of students (number and percentage)
(a) Arts
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(b) Social Sciences .................................……….
(c) Basic Science
................................................
(d) Arts Education (Teaching)
................................................
(e) Science Education
(teaching) ..............................................
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NCHE FORM 5
(i) Agriculture .......................................
.........
(j) Medicine (Medicine Pharmacy, dentistry) ..........................
…...
(k) Veterinary
medicine ................................................
(l) Engineering/ Technology
................................................
(m) (attach separate sheet if necessary)
(iii)
Regions of origin
(a) Eastern Region
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(b) Central Region
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(c) Northern Region ………..
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(d) Western Region ……………………………...
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(vii)
Non-Ugandans
(a) East Africans …………………………………………...
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(b) Others …..
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13. SIGNATURES OF THE OFFICERS OF THE INSTITUTION
(i) Chairperson of Governing Council (print, sign and date)
Name ……………………………………………………………...
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Signature …………………………....….
Date…………………………..
(ii) Principal
Name …………………………..………………………………………………..
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Signature ………….……………….
Date…………………………
(iii) Institution Secretary
Name …………………………………..……………………………………….
…
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NCHE FORM 5
Signature ………………………………… Date…………...
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14. PLEASE ATTACH THE FOLLOWING:-
(a) CVs of the members of the institution (governance, administration
and academic)
(b)The financial control mechanism in place
(c) Detailed explanation of the programmes to be offered.
(d)The physical and educational facilities to be put in place.
(e) Any other document/information relevant to your application.
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