Name of the course applied for: ………………………………………………………………………………………………………
Name of the applicant: ………………………………………….. Date of birth ……………………………………….
Sub-County/Location: ………………………………….. Ward …………………………………………………….
Address: P.O. Box: …………………………………… Postal ……………………………………………………..
Mobile Number: ……………………………………………… Email address ……………………………………..
Then deposit the application fee of Kshs. 200 as indicated in the NOTE 1 below.
NOTE:
- A non-refundable application fee Kshs. 200 should be paid to our institution (AHMED S. MWIDANI TECH) account number 1215853955 Bank Name: KCB Bank Kenya Ltd, Treasury Square Branch, Mombasa
- Present the deposit slip presented to the finance office to obtain an institution receipt which is required for admission.
- Attach copies of results slips/certificates, national ID card and Birth certificate.
- Accommodation can be sort from the neighborhood at a reasonable cost.
- Original credentials shall be required on reporting date for the verification and registration.
FOR OFFICIAL USE ONLY
Application accepted/not accepted ……………………………………………………………………………………
Reporting date: ……………………………………………………………………………………………………..
Registrar Sign: ……………………………………………… Date: ………………………………………………
PRINCIPAL