Program Application Form

SECTION 1: Personal Information
Full Name
Date of birth

Gender
Phone Number
E-mail
SECTION 2: Address Details
County
Town
Postal / Physical Address
SECTION 3: Academic Information
Highest Level Achieved
KCSE Mean Grade
Year of Completion
SECTION 4: Program Selection
Program
Preferred Study Mode
Intake Period
SECTION 5: Parent / Guardian / Sponsor
Sponsor / Parent Full Name
Sponsor Phone
Relationship to Applicant
Sponsor Email
SECTION 6: Document Uploads
KCSE Certificate / Result Slip
Drag and drop media files to upload or
Maximum file size: 8 MB
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National ID / Passport (Front)
Drag and drop media files to upload or
Maximum file size: 8 MB
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Academic Transcripts / Other Certificates
Drag and drop media files to upload or
Maximum file size: 8 MB
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