Application Application for Admission i. Fill every part of this form in block letters as correctly as possible. ii. Attach certified copies of your certificates/testimonials. iii. Select two combinations in order of preference. (For DTE only) iv. Remember to send admission fee transaction number/scanned receipt to us.
Personal Information First Name: Middle Name: Last Name:
ID No: PIN No: Birth Certificate No:
Postal Address: Telephone: Email: (No email? Open one at Gmail)
Upload Photo (*Passport size only):
Academic Information Highest Level Attained (eg KCSE): Year attained:
Subjects & Grades (eg. Maths B+ )
Aggregate Grade attained:
Course Information Select the course you want to study:
Subject Combination (For DTE students only): First Option: Second Option:
Co-Curricular Activities Input Activity and level reached (eg. Drama Nationals)
Special Talent Describe any talent that you possess
Uploads Documents, Certificates/Testimonials ID Card: Upload: ID Front side: ID Back side: Birth Certificate: Upload: KCPE Result Slip: Upload: Primary Leaving Certificate: Upload: KCSE Result Slip: Upload: Secondary Leaving Certificate: Upload: Testimonial 1: Upload: Testimonial 2: Upload: Testimonial 3: Upload:
I certify that the information i have given above is true and represent both my personal and academic status.