First Name & Middle Name * (If you lack a middle name, simply write your first name only.)

Last Name *

Gender * Female Male Other

Are you a person with disability?(PWD) * YES NO

ID Number *

Email * (Key in a valid email address. Type it correctly. We will use it to contact you)

Mobile Number * (Key in a valid and active mobile number. Type it correctly. We will use it to contact you)

Phase * (Select your phase) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Highest Level of Education * Primary (O Level) Secondary School (A Level) Artisan Certificate Diploma Higher Diploma Degree Masters PhD

Course Name * (eg. Information Technology. If you are a class 8 leaver or a Form 4 leaver, just key in KCPE or KCSE respectively)

Constituency * (If you are not a Kisii county resident, we recommend you select a constituency you currently stay in Kisii) Bobasi Bomachoge Borabu Bomachoge Chache Bonchari Kitutu Chache North Kitutu Chache South Nyaribari Chache Nyaribari Masaba South Mugirango

Ward * (If you are not a Kisii county resident, we recommend you select a ward you currently stay in Kisii) Borabu/Chitago Ibeno Majoge Bassi Bogeka Monyerero Nyakoe Marani Tabaka Boikang’a Moticho Bogusero Ichuni Bokimonge Birongo Masige East Kegogi Masimba Kiamokama Keumbu Bombaba Gesusu Bassi Central Bobasi Boitangare Bomorenda Sensi Sameta/Mokwerero Masige West Nyacheki Riana Kitutu Central Bomariba Bogetenga Bogiakumu Bobasi Chache Getenga Boochi Borabu Kiogoro Bobaracho Nyamasibi Booch-Tendere Bosoti-Sengera Magenche Nyatieko Basi Bogetaoria Kisii Central

Your Admission Number We have assigned you this Admission Number. Please keep it safe. You will be using it in your entire course. Copy it somewhere or screenshot it. If you lose it, you will NOT be able to access your marks.

Your Admission Number * (Re-enter the above Admission Number)

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