New student application — KINGDOM IMPARTATION TRAINING INSTITUTE

First name *

Middle name

Last name *

Gender *

Date of birth *

National ID / Birth cert *

Phone *

Email

Home county *

Sub-county

Physical address

Parent / guardian name *

Parent / guardian phone *

Guardian relationship

Programme code *

KUCCPS index (if any)

KCSE index / year

KCSE mean grade

HEF / HELB band (1–5)

Residential preference

Person with disability (PWD)

PWD details (if any)

Passport photo (optional)

ID / birth cert scan (optional)

Confirm details are correct. You will receive an application reference after submit. Registry may request additional documents. Guarantor details are not required at this stage.

I declare the information provided is true and complete.