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Online Student Application Form

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Online Student Application Form

Instructions on how to fill the form
For you to be able to use the Picture upload/certificate tool, you are required to register yourself as a user then use the password and username sent to your e-mail to login in, or directly sent your attachments to this email addresses: smakhanu@maseno.ke or omuono@maseno.ac.ke.

Note:

That all candidates applying must attach scanned copies of their certificates/transcripts, identityCards and leaving certificate.
Applicants should indicate the campus of interest: whether Kisumu City Campus (Evening) or Maseno Campus (Regular)
That the names appearing on this form should be the same as those in your certificates.

Required *

PERSONAL DETAILS

Surname/ Family Name *

Other Names in Full: *

File Upload/Certificate(s).

Date of Birth *

Gender * Male Female

Marital Status * Married Single

Email Address *

Address of Correspondence *

Telephone *

Nationality *

Country of Origin *

DEGREE CHOICE.
State two (2) degree courses for which you wish to be considered in order of preference.

First Degree Choice *

Second Degree Choice *

ACADEMIC BACKGROUND
KENYA CERTIFICATE OF SECONDARY EDUCATION KCSE/KCE/EACE OR Equivalent Examination passed candidates offering alkternative qualifications must attach copy (s) of certificate (s).

Secondary School Attended:

Date of Admission

Date of Completion

Year of Examination

Index Number

Examination Body

Mean Grade

Points

Subject Grade

KACE/ EAA OR EQUIVALENT (Write N/A if not applicable.)

High School Attended

Date of Admission

Date of Graduation

Year of Examination

Index Number

Examination Body

Result: Principle Pass (es)

Result: Subsidiary (es)

Subject Grade

PROFESIONAL OR OTHER QUALIFICATION (S)
Give details where Obtained, dates and Certificate (s) awaded. attach documentary proof.

Qualifications

EMPLOYMENT HISTORY

List all relevant work experience: Previous and current and if non (write N/A).

i.e Dates of employment From- To then Job Tittle.

Employment History

ACADEMIC REFEREES

Give names, contacts and designation of two referees

Academic Referees

Please type the text shown in the image.