FORM 30 REPUBLIC OF KENYA
THE KENYA CITIZENSHIP AND IMMIGRATION ACT, NO. 12
APPLICATION FOR A STUDENT/RESEARCH & INTERNSHIP PASS
PART I
Affix photo
of applicant
PARTICULARS FOR WHOM THE PASS IS TO BE ISSUED
(All particulars to be in capital letters)
1. Full names: Mr./Mrs./Miss …………………………….............................................
…………………………………………………………………..................................
2. Contacts (Postal address, telephone number, email address)
………………………………………………………………………………………..
………………………………………………………………………………………..
3. Nationality (Attach passport copy showing current immigration status)
……………………………………………………………………………………….
4. Country and place of residence ……………………………………………………...
5. Particulars of educational/training establishment or institution where applicant has
been admitted ………………………………………………………………………..
6. Particulars of the course/research/internship and duration:
………………………………………………………………………………………..
7. Admission number …………………………………………………………………..
8. Insert a declaration by the student/sponsor
9. Academic/professional/technical qualifications (Translated and certified academic
certificates for non-English speaking countries by Public Notary or Embassy
starting with the highest)
Year University/College/Institution/School Award/Attainment(Degree,
Diploma, Certificate)
From To
.................................................................................................................................................
………………………………………………………………………………………………..
PART II
To be filled in respect of application on behalf of minors
I …………………………………………………………………………………of (address)
………………………………… of ………………………………………… nationality and
Holder of (Passport/ID Number) ………………………………….. do make application
for the issue of a pass to enable ……………………………………………………………...
aged………………….. presently residing at ………………………………………..the
child of …………………………. to enter Kenya for the purpose of learning or training in
the under mentioned educational establishment ……………………………………………..
……………………………………………………………………………………………......
Date ……………………… Signed ……………………………..
To be completed by the Principal of the educational or training establishment.
I (full names) …………………………………………… Principal of ……………………..
(educational or training establishment) hereby certify that ……………………….(full
name of the proposed student):
(a) has been admitted as a student in this establishment;
(b) that the issue of a student’s pass to the above named applicant will not deprive a
suitable citizen of Kenya of a learning or training opportunity in the establishment of
which I am Principal.
Signed …………………………………………….. Date …………………………………..
Principal of …………………………………………………………………………………..
(Full name and address of educational or training establishment.)
Notes:
1. This certificate must be signed by the Principal in person
2. Research and intern applicants must attach approval and /or permission from
relevant Kenyan authority
3. Fee
(a) Research and Internship - Kshs.15,000 per annum
(b) Student Pass - Kshs.5,000 per annum
4. It is an offence
(a) To receive education or training at any educational or training establishment
within Kenya without a Pupil’s Pass
(b) While in possession of a Pupil’s Pass, to engage in any form of employment
either for gain or not.
