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Program Application Form
SECTION 1: Personal Information
Full Name
Date of birth
Gender
Male
Female
Phone Number
E-mail
SECTION 2: Address Details
County
Town
Postal / Physical Address
SECTION 3: Academic Information
Highest Level Achieved
KCSE
Certificate
Diploma
KCSE Mean Grade
B-
C+
C
C-
4
D
D-
Year of Completion
SECTION 4: Program Selection
Program
Preferred Study Mode
Part-Time
Online / Blended
Full Time
Intake Period
January Intake
March Intake
May Intake
September Intake
SECTION 5: Parent / Guardian / Sponsor
Sponsor / Parent Full Name
Sponsor Phone
Relationship to Applicant
Parent
Guardian
Self Sponsored
Employer / Organization
Other
Sponsor Email
SECTION 6: Document Uploads
KCSE Certificate / Result Slip
Drag and drop media files to upload
or
Select files
Maximum file size: 25 MB
0
/1
National ID / Passport (Front)
Drag and drop media files to upload
or
Select files
Maximum file size: 25 MB
0
/1
Academic Transcripts / Other Certificates
Drag and drop media files to upload
or
Select files
Maximum file size: 25 MB
0
/1
Submit