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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

    Any Other accomplishment or award attained

    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