APPLICATION FOR ADMISSION FORM

    Student's Full Name

    Sex

    National Id Number (optional)

    Date of Birth

    Religion

    Nationality

    Course

    Level

    Students Phone Number

    Email Address

    Name and address of a person who can be contacted in case of an emergency.

    Name

    Relationship

    Phone Number

    Name and address of high school attended.

    Name

    KCSE Grade attained

    Year completed

    Games/Sports you are interested in

    I certify the information provided in correct and to the best of my knowledge.

    Signature(Sign in the space provided below)

    Date