Application Form

Kenya Highlands University Online Application Form

Please fill out the application form carefully and completely
Full Name *

First Name Last Name
Gender
Birth Date *

Day Month Year
E-mail *
Phone Number *

Country Code Phone Number
Place of Birth
County of Residence
Marital Status
Nationality
Religion

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Education Background

List your previous schools and colleges attended

High School Information
High School name *
Mean Grade Attained in High School *
Grades attained in each subject
Grade in Maths
Grade in English
Grade in Kiswahili
Grade in Physics
Grade in Chemistry
Grade in Biology
Grade in Geography
Grade in History
Grade in Agriculture
Grade in CRE
Grade in Business
Other Subject (please indicate the subject with the grade)
Graduation date

Day Month Year

Other qualifications/certification after High School
Please list all other qualification or training attained after High School

Form collapse ender
Programme or Course you are applying for
Please choose the programme or course you are applying *
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 *
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