STUDENT REGISTRATION FORM

 

Please fill in the fields below, and press the Submit button.

 

Non_Students Click here

N.B. The fields marked with * must be filled in for you to submit the form. Fields without an asterisk are optional.
*Surname:
*Other Names:
Title:
*Full Uni Address:
Sponsorship:
*Course of Study:
Course Start Date:
Duration of Course:
Full Resid Address:
Passport No:
Date of Issue:
Date of Expiry:
Kenya ID NO:
Residential Tel No:
Office Uni Tel No:
Your Mobile No:
*E-mail Address:
Next kin Full Address:
Next Kin Tel No:
Next kin E-mail:
 
 

 

This registration Form is property of the Kenya Government.

The registration is open to all Kenyan Nationals.

The information given in this form is protected under Data Protection Act.

NB: Kenyans who are here as visitors can call or visit the Kenya High Commission, London.

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