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Jkuat Admission Form
Miss)
Surname
First Name
Other Names/ Initial
2. National Registration Number (ID)
3. University Registration Number
Year of Study
1. First
2. Second
3. Third
4. Fourth
5. Fifth
6. Sixth
4. Date of Birth
Date
5. Religion 1. Protestant
Month
Year
Other
2. Catholic
3. Muslim
……………………………………
Do you require a Government
Loan?
Yes
6. Physically challenged
Yes
7. Nationality
1. Kenyan
If non Kenyan, Country of Origin
8. County of Origin
9.
No
No
2. Non Kenyan
Home Contact Address (where you can...
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