PAULINE BAKIBINGA MEMORIAL SCHOLARSHIP: 2025 ONLINE APPLICATION FORM
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1. Your name *
2. Your email address: *
3. Your phone number (include country code e.g., for Kenya: 254707737032) *
4. You are: *
5. Highest level of education attained: *
6. Name of university that you have been admitted to *
7. Date of admission: *
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8. Your country of citizenship  *
9. Briefly describe how you have contributed to digital health *
10. Your research topic ( feel free to share even a vague idea about what you intend to research on) *
11. The next stage in the application is to prepare a few documents as one PDF file. Indicate if you have the following documents ready for sharing: *
No
Yes
1. Two letters of recommendation (one must be from academic supervisor)
2. Statement of purpose (motivation essay) (1-page maximum)
3. Academic certificates
4. Proof of admission into a masters' degree program
5. Approved Research Topic
6. IRB approval or Proof of Submission
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