Apply for a Course

REG/APP/F001

MACHAKOS UNIVERSITY

OFFICE OF THE REGISTRAR (ACADEMIC AND STUDENT AFFAIRS)

ISO 9001:2015 Certified Institution

Application Form for Admission to Certificate, Diploma and Degree Programmes

Please fill out the form below. All fields marked with * are mandatory.

Section A – Course Application Details

Course Applied For*

Program Level*

School*

Department*

Section B – Applicant's Personal Details

Surname*

First Name*

Middle Name

Date of Birth*

Gender*

Male Female

Nationality*

County*

National ID / Passport No

Phone Number*

Email Address

Section C – Next of Kin Details

Name of Next of Kin*

Relationship*

Kin Postal Address

Kin Postal Code

Kin Town / City*

Kin County*

Kin Phone Number*

Kin Email

Section E – Work Experience (If Applicable)

Section F – Upload Required Documents (PDF/JPG/PNG)

KCSE Certificate*

School Leaving Certificate*

ID / Birth Certificate / Passport*

Passport Photo*

Section G – Declaration

I declare that the information given herein is true and accurate to the best of my knowledge and fully understand that any false information would lead to disqualification.

Declared_Name*

Declared_National ID / Passport No

Declared_Date*