Course Registration Form

* All fields marked with asterisks (*) are required to complete the application
* At the end of the application, you will be required to pay registration fee of KES 1,000.00 to be approved for this course

Personal Details

Surname *

First Name *

Middle Name (optional)

Phone/Mobile No. *

Email Address *

Verify Email Address *

Citizenship *

City/Town/Suburb *

State/County *

Course Details

Name of course applying for: *

In one or two paragraphs, tell us why you need financial support*

Attach a stamped letter requesting for financial support.* * NB: You are required to provide more evidence of financial need from authorities (e.g. Employer, school dean or registrar, chief, MCA, MP or Women Rep). Upload the document as a scanned Image or PDF file.

Additional Information & Declaration

Please provide ID of the agent:

Declaration *

I have confirmed that the information I have given herein is correct and that I have read the Privacy Policy and Terms and Conditions.

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