Online Application Form

Jina La Kwanza (First Name) *

Jina La Mwisho (Last Name) *

Namba ya simu (Mobile Number) *

Namba ya Whatsapp (Whatsapp Number)

Barua Pepe (Email) *

Chagua Jinsia (Gender) Mwanaume (Male) Mwanamke (Female)

Namba ya Mtihani (Form IV) 1^st Examination Number *

Namba ya Mtihani ya pili (Form IV) 2^nd Examination Number

Kozi Unayoomba (Which course are you applying for?)* Chagua (Select) course 1 course 2 course 3

Je! Unaanza au Unahamia (Are You starting or transferring?) * Chagua (Select) Naanza (Starting) Nahamia (Transferring)

Kama Unahamia, Umemaliza Chuo Gani? (If transferring, What is your previous college?) *

Umemaliza Ngazi Gani? (Which Level of Education?) * Chagua (Select) level 1 level 2 level 3

Namba ya simu ya Mzazi/Mlezi (Parent/Guardian mobile Number)

Uhusiano na Mzazi/Mlezi (Relationship with Parent/Guardian)

Wasilisha Maombi. (Submit)
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