KNEC Business Course Registration

KNEC Business Course Registration
Full Name*

First NameMiddle NameLast Name
Gender*
Date of Birth*

DayMonthYear
Phone Number*

Country CodePhone Number
Email Address*
Physical Address*

Street Address

Street Address Line 2

City /TownCounty

Postal / Zip CodeCountry
Student Enrollment Information
Status*
Semester*
Course List*
Qualification*
High School Education
Name of Last High School Attended*
Year Graduated*
KCSE Mean Grade Attained*

Emergency Contact Information

Please complete this information for one emergency contact person
Full Name*

First NameMiddle NameLast Name
Phone Number*

Country CodePhone Number
Relationship*
Physical Address*

Street Address

Street Address Line 2

City / TownCounty

Postal / Zip CodeCountry

I certify that the information I have provided above is true to the best of my knowledge without any malice or any intention to commit acts of misrepresentation.

I acknowledge that the provision of any incorrect, misleading, or deceptive information could result in consequences such as withdrawal, expulsion, or disciplinary measures, as determined by the authorities of the institution.
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