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The Nyeri National Polytechnic: NNP/ Reg /Adm/Application Form

This document is an application form for The Nyeri National Polytechnic. It requests an applicant's personal details such as name, date of birth, contact information, education history including KCPE and KCSE exam scores. It also collects details on the applicant's parent or guardian. The applicant is asked to attach photocopies of identification documents and academic certificates to the application. Spaces are provided for polytechnic staff to review the application and qualifications.

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1K views1 page

The Nyeri National Polytechnic: NNP/ Reg /Adm/Application Form

This document is an application form for The Nyeri National Polytechnic. It requests an applicant's personal details such as name, date of birth, contact information, education history including KCPE and KCSE exam scores. It also collects details on the applicant's parent or guardian. The applicant is asked to attach photocopies of identification documents and academic certificates to the application. Spaces are provided for polytechnic staff to review the application and qualifications.

Uploaded by

dennis
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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THE NYERI NATIONAL POLYTECHNIC

P.O. Box 465-10100 Tel: 061-2032330 Fax: 061-2032852 Mobile: 0724-477942


Website: www.thenyeripoly.ac.ke E-mail: info@thenyeripoly.ac.ke

NNP/ REG /ADM/APPLICATION FORM

APPLICANT’S DETAILS
SURNAME_________________ FIRST NAME____________________ MIDDLE NAME____________________

DATE OF BIRTH (DD/MM/YY) ____________ GENDER _________ TEL: ______________________________

ID /PASSPORT NUMBER HOME ADDRESS: ____________________

NATIONALITY ______________ E-MAIL ______________________________ DATE _________________


KCPE INDEX NO YEAR KCSE INDEX NO YEAR

EDUCATION DETAILS
COURSE APPLIED FOR ____________________________________________________________________

LAST SCHOOL ATTENDED _______________________________________YEAR______________________

MEAN GRADE ATTAINED ____________________________________________________

ENGLISH/KISW ___________________________________________________

MATHS _________________________________________________________

PHYSICS _________________________________________________________

CHEMISTRY/PHYSICAL SCIENCE ___________________________________

BIOLOGY/BIOLOGICAL SCIENCE ___________________________________

OTHER QUALIFICATIONS_____________________________________________________

PARENT’S/GUARDIAN’S DETAILS

SURNAME_________________ FIRST NAME______________________ MIDDLE NAME_____________________

P.O. Box _________________ POSTAL CODE TOWN _________________

TELEPHONE: FAX:

MOBILE:

E-MAIL _____________________________________________________

NOTE: ATTACH PHOTOCOPIES OF: KCPE CERTIFICATE, KCSE CERTIFICATE/RESULT SLIP, ID CARD, LEAVING CERTIFICATE
AND BIRTH CERTIFICATE.

OFFICIAL USE

Candidate qualified for the Course Yes No

HOD’s Comments __________________________________________________________________________

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