• Application Form
Surname Name
Other Names
Date of Birth
District
Telephone
Email
Nationality
Last School Attended
Which level are you applying for?
   
Please select three (3) courses in your order of priority and in line with the admission requirements for each course as indicated on the Institute website
First choice course
Second choice course
Third choice course
Please indicate your preferred study session
   Please indicate your performance at O-Level by subject and grade
1)      
2)      
3)      
4)      
5)      
6)      
7)      
8)      
9)      
10)   

Details of your Parents/Guardian

Father/Guardian's Name
Telephone Contact
Place of Residence
Place of work
Mother/Guardian's Name
Telephone Contact
Place of Residence
Place of work

Details of your Next of Kin

Name
Relationship
Telephone Contact
Place of Residence
Place of work
Who will sponsor you during the study period?
Do you have any known health related challenge?
   
Extra-curricular activity
Please attach your academic certificates/testimonials used to apply for courses chosen, all in one PDF)
Please attach your passport size
   I declare to the best of my knowledge that the information provided in this application is correct and a true reflection of the applicant
   
please verify your particulars to ensure that all Required (*) fields are completed before you submit