Application Form

Kenya Highlands University Online Application Form

Please fill this form completely and accurately to avoid delay in processing your application. Please ensure that you have scanned or PDF copies of your academic documents before you begin the application process. You will be required to attach them to this application form.
Full Name*

First NameLast Name
Gender*
Birth Date*

DayMonthYear
E-mail*
example@example.com
Applicant Phone Number*
Parent/Guardian Phone Number*
Place of Birth
County of Residence*
Marital Status
Nationality*
Religion
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Education Background

List your previous schools and colleges attended

Other qualifications/certification after High School
Please list all other qualification or training attained after High School
Programme or Course you are applying for
Please choose the programme or course you are applying*
Preferred Mode of Study*

Full-Time (Face to Face)Part-Time (Face to Face)e-Learning/Online
Upload Your Academic Documents*

Cancelof
Hobbies and Interests
Brief description of hobbies, activities, academic and other interests
Tell us why you want to join this Institution
How did you hear about us?*
Enter the message as it's shown*
Should be Empty:

Kenya Highlands University Online Application Form