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Kenyatta University: Application Form For Admission Into The Certificate Courses

This document outlines an application form for admission into certificate courses at Kenyatta University. Section A requests basic personal information from applicants such as name, contact details, date of birth, citizenship, and marital status. Section B asks for the specific certificate being applied for and educational history. Section C is to be completed by an applicant's current employer or head of institution, if applicable. Section D is for official use only to approve or not approve an application.

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0% found this document useful (0 votes)
102 views3 pages

Kenyatta University: Application Form For Admission Into The Certificate Courses

This document outlines an application form for admission into certificate courses at Kenyatta University. Section A requests basic personal information from applicants such as name, contact details, date of birth, citizenship, and marital status. Section B asks for the specific certificate being applied for and educational history. Section C is to be completed by an applicant's current employer or head of institution, if applicable. Section D is for official use only to approve or not approve an application.

Uploaded by

jonathan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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KENYATTA UNIVERSITY

OFFICE OF THE REGISTRAR (ACADEMIC)

APPLICATION FORM FOR ADMISSION INTO THE


CERTIFICATE COURSES.
NOTES

(i) This form should be completed and returned to:


The Registrar (Academic), Kenyatta University, P.O. Box 43844,
NAIROBI.

(ii) The form should be typed or completed in BLOCK LETTERS.

(iii) Attach copies of (a) your current appointment letter,(where applicable),


(b) your professional and academic certificates and transcripts where
applicable and (c) copy of the receipt for the application form.

SECTION A

Name..
(Surname) (Other names in full)

Contact Address.

Name of School/Institution and address


...

Telephone No:Nearest Town:


Date of Birth: Day.. MonthYear...

Citizenship:.

Identity Card No. (For Kenyans):


Passport No. (For non-Kenyans)..

Sex:

Marital Status:

Religion:.
SECTION B
10. (a) Name of certificate applied for....

(b) Institute ..

(c) School ..

(d) State whether Full-time or Part-time

11. Secondary Schools attended and Qualifications obtained


SCHOOLS ATTENDED ATTENDANCE QUALIFICATIONS OBTAINED
FROMTO..

12. (a) Other Qualifications:


COLLEGE FROM QUALIFICATION CLASSIFICATION SUBJECT(S) DATE
ATTENDED TO.. OBTAINED STUDIED AWARDED

(b) Working experience (where applicable)


EMPLOYER STATION OF WORK OCCUPATION FROM:
..TO:
..

SECTION C
To be completed by the Head of School/Institution where the applicant is currently working
(where applicable).

12. Name of the Head of School/Institution (where applicable):

Signature:..Date:.

School/
Institution stamp

Signed by the Applicant:.Date:.

SECTION D
13. For Official Use:

Approved/Not Approved for admission.

Signature:Date:

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