Wattuba, 14km Bombo Road Wakiso District, Uganda.
(256) 392-175132
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Home
About
About IMAU
President’s Message
IMAU Leadership
IMAU Leadership
Guidelines for Selection & Election of IMAU Leaders
Organization Structure
IMAU Branches
IMAU Working Documents
Projects
Saidina Abubakar Islamic Hospital
FIMA HIV/AIDS Resource Centre
About
FIMA HIV/AIDS Resource Center Working Documents
Community Action for Prevention, Treatment and Care for HIV/AIDS (CAPTCA)
Education
Newsletters
IMAU Publications
Continuous Professional Development
Our Articles
Events
Our Events
Our Gallery
Membership
Guidelines for IMAU Membership Application
Apply for Membership
Payment Details
Contact
Donate
Wattuba, 14km Bombo Road Wakiso District, Uganda.
(256) 392-175132
IMAU Leaders Nomination Form
PERSONAL INFORMATION OF NOMINEE
Surname
Given Name
Other Name(s)
Attach Recent Passport Photo (*Max File Size is 5MB)
Age
Gender
---
Female
Male
Email
Mobile Phone
SPECIALITY OF NOMINEE
Speciality
Highest Academic Qualification
Occupation Title
Position Applied For
IMAU Branch where nominee is a Member
---
Apac/Lira
Arua
Hoima
Jinja
Kampala
Kapchorwa
Mbale
Mbarara
Mpigi
Mubende
Mukono
Pallisa
Soroti
Southern Region
Tooro
Tororo
Wakiso
Yumbe
NOMINATOR
Names
Mobile Phone
IMAU Branch
---
Apac/Lira
Arua
Hoima
Jinja
Kampala
Kapchorwa
Mbale
Mbarara
Mpigi
Mubende
Mukono
Pallisa
Soroti
Southern Region
Tooro
Tororo
Wakiso
Yumbe
