Student Application Form

Complete the form below and click "Submit Application" to send your application to our admissions office.

Important: All fields marked with * are required. After submission, you'll receive a confirmation and can download your application.

Personal Data

Full Names (as per KCSE certificate) *

ID/Passport/Birth Certificate No. *

Date of Birth *

Phone No. *

Email Address *

Nationality *

Do you have any disability?

Yes No

Emergency Contact

Full Names *

Phone No. *

Relationship *

Academic Profile

Secondary School Name

Qualification (KCSE Mean Grade)

From (Year)

To (Year)

Course Details

Course Applied For *

Intake Year *

Intake Month *

Students applying for technical courses must have a complete student tool kit. A tool kit list will be issued for your course.

Sponsorship Information

Who will sponsor your education? *

Self Parents Self & Parents Others

Are you sponsored by any organisation?

Yes No

Additional Information

How did you learn about us?

Documents to Attach

Copy of National ID (or Passport/Birth Certificate) Copies of academic qualifications Recent colour passport size photo

Please bring original documents for verification during registration.

Declaration

1. The information I have supplied is complete and true. If any is found to be incomplete, false or misleading, the Institute may cancel my registration.

2. I undertake to abide by the rules and regulations of the Institute.

3. I hold myself responsible for payment of all fees due to the Institute.

4. If I do not inform the Registrar of withdrawal by the prescribed date(s), I will be liable for full fees.

Full Name (as signature) *

Date *