Registration Form

KIMATHI STUDENT CENTRE

We Enhance Education by Offering Standard Facilities

Students are expected to fill this form before prior to admission.

Provide the original and a copy of your National Identification Card on admission.
Provide two passport size photographs.
Payment voucher details or bank slip.

First Name(*)

Please enter your first name

Last Name

Enter your last name (Optional)

Surname(*)

Please enter Surname

Your Email(*)

Please let us know your email address.

National ID Number(*)

Please enter your National ID number

College ID Number(*)

Please enter your School/College ID number

Gender(*)

MaleFemalePlease indicate student's gender

Address(*)

Enter postal address

Postal Code

Enter Postcode

County

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Country(*)

Please enter country of origin

Mobile Number(*)

Please enter your mobile phone number, dash(-) and space( ) allowed.

Parents Number(*)

Please enter parent's or guardian's phone number

Institution(*)

Enter institution student is attending

Course(*)

Enter Course student is taking

Course Period(*)

Enter length of course

Antispam Validation

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