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Personal Information

Basic personal details of the applicant.

INSTRUCTIONS

Fill in the application form.

Scan and upload the following documents in their respective spaces.

Results slip / Certificates
National Identity Card / Waiting Card / Birth Certificate / Birth Notification
Proof of Medical Cover (SHIF etc.)

NB: Items marked with a * (red star) are mandatory.

How did you learn about KAG EAST University? *

Recruitment and Admissions Team

Referral

Advertisement (Social Media etc.)

Walk-In

Other

Please specify *

Tell us where you heard about KAG EAST University.

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Male

Female

Other

Marital Status

Ethnicity

Passport Photograph *

Upload a recent passport-size photo (JPG/PNG).

Location & Contact

Where you live and how we can reach you.

Nationality *

Kenyan

Non-Kenyan

Country of Residence *

Identification

National ID Number

Required for Kenyan applicants.

Scanned National ID *

Upload a scan of your National ID (PDF or image).

Passport Number

Passport Expiry Date

Passport Place of Issuance

Visa Type

Eg. Student Visa, Dependent Pass, Work Permit.

Pupil's Pass Number

Contact Information

Email Address *

Mobile *

Alternate Phone

Residential Address (Kenya)

County *

Sub-County *

Ward *

Locality / Village / Estate

Emergency Contact

Contact details for two individuals to reach in case of emergency.

Primary Emergency Contact

Name *

Relationship *

Phone Number *

Email Address

Optional

Physical Address

Secondary Emergency Contact

Name

Optional — leave blank if you only have one contact.

Relationship

Phone Number

Email Address

Optional

Disability Information

For NCPWD-registered applicants.

Disability Status *

None

Person with Disability

Disability Type

Tick all that apply — an applicant may have more than one type (e.g. physical + cognitive).

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NCPWD Number

National Council for Persons with Disabilities registration number.

Medical Cover

Medical insurance scheme you are covered by — e.g. SHA, SHIF, a private insurer. Leave blank if you have none.

Educational Background

Previous Academic History (starting with the highest qualification).

Academic Qualifications *

List your qualifications starting with the highest. Use "Add Qualification" to add more rows.

KCSE Index Number

KCSE Grade

Course & Family

Sponsorship, intake, programme and family background.

Selected Course

Program of Level

Program of Level *

Course of Interest

Course of Interest *

Intake *

Pick the intake you want to join. Only intakes offered by this admission register are shown.

Preferred Mode of Learning *

Supporting Documents

Upload scanned copies of your documents and submit.

Upload Scanned Documents

O-Level Certificate (Form 4) *

PDF or image. Max 25 MB.

Other Academic Certificate

Optional — any certificate other than O-Level (Form 4).

National ID / Waiting Card / Birth Certificate / Birth Notification

Scanned copy of your ID or birth record.

Proof of Medical Cover (SHIF, etc.)

DECLARATION

By signing this application, you confirm:

That the information given is correct and that any misrepresentation of facts on this application could be cause for expulsion or suspension from the University if discovered after enrolment.
That you have read and understood the Statement of Faith, Code of Conduct and agree to live by it as long as you are a KAG EAST University student.

Affirmation of the Declaration *

Decline

Accept

KAG Student Admission Application