STUDENT APPLICATION FORM FOR ACADEMIC YEAR 2026/2027 SEPTEMBER INTAKE
click
here
to download application Form
Personal details/ Taarifa za mwombaji
First Name
Last Name
Sex
Date of Birth
E – Mail Address
Mobile Number
Postal Address
District
Region
Next of Kin details (Taarifa za Ndugu wa karibu)
Full Name
Mobile Phone
Relationship
Region
Education Details (Taarifa za Elimu yako)
Primary School
Secondary School
Form 4 Index Number
Year Completed
Program choice / Chagua Kozi unayoomba
Select Program
Chagua kozi unayoomba
Diploma/certificate in Nursing and Midwifery
Diploma/certificate in Social Work
Diploma/certificate in Pharmaceutical Sciences
Diploma/certificate in Clinical Nutrition
submit
NOTE:
Press submit button after filling all important details/ Bofya kitufe cha Submit baada ya kujaza taarifa zote muhimu
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