Scholarship Application Form

REPUBLIC OF KENYA

MINISTRY OF EDUCATION

Scholarship Online Application Form

Scholarship Application

(SCHOLARSHIP TITLE))

(NAME OF COUNTRY WHERE TENABLE)

1. Name in full ( Surname)

(Other Names)

2. Present mailing address

3. Present contact - (a) Telephone ((i) Landline:)

(ii) Mobile Phone No.

(b) Permanent Address

Email *

4. Age

Date of Birth

Sex

5. County

District of Birth

Constituency

6. Employers Details (if applicable) - Name

Address

Telephone

Designation

7. Do you have any dependants?

if yes, who will Support them if you are offered a scholarship?

8. What course do you wish to study?

9. Proposed future profession in Kenya

10. Schools or college presently attending

11. Do you plan to sit for nay examination this year?

12. Have you applied for admission into any institution of higher learning in Kenya? If yes, give details

13. Have you received a scholarship in the last two years?

If yes, state the sponsor and scholarship title

14. Institutions attended (i)

Date

Qualification

(ii)

Date

Qualification

(iii)

Date

Qualification

(iv)

Date

Qualification

(v)

Date

Qualification

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Ministry Of Education

REPUBLIC OF KENYA

MINISTRY OF EDUCATION

Scholarship Online Application Form

Complains/corruption or complements