Program Interested In

Program Interested In

Personal Details

Personal Details

Academic Qualification

Academic Qualification

Additional Data

Additional Data

Payment

Payment

• Program Interested In
• Personal Details
• Academic Qualification
• Additional Data
• Payment

Courses

Course Applied for

Nephrology Nursing Diploma in Clinical Medicine & Surgery Diploma in Nursing Diploma in Nutrition & Dietetics Diploma in Community Health Diploma in Orthopedic & Trauma Medicine Diploma in Hospital Maintenance Techniques Diploma in Hospital Catering Services Certificate in Nutrition & Dietetics Certificate in Community Health Certificate in Orthopedic & Trauma Medicine Certificate in Hospital Maintenance Techniques Certificate in Hospital Catering Services

Intake

March September

Personal Details

Surname

First name(s)

Gender

Male Female

Date of Birth

Mobile Number (Applicant & Parents)

Email

Town, District/Constituency, County

Academic Qualification

KCSE Results Slip

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Additional Qualification

How did you receive the information about the college

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Radio Station Website Newspaper Advert Other Indicate Flyer Friend in College Facebook Banner Word of Mouth Outreach

Payment

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