@extends('layouts.applicant') @section('content')

BEYOND ZERO SCHOLARSHIP FORM

Please Counter-Check the Details Before Clicking Print Form.
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@endif
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Telephone: +254-2-2725711/2/3/4
Fax: +254-2-2722907
Website: www.kmtc.ac.ke
Email: admissions@kmtc.ac.ke


ISO 9001: 2008 Certified

SRN:#{{Auth::User()->id}}

KENYA MEDICAL TRAINING COLLEGE

APPLICATION FORM FOR PRE-SERVICE CANDIDATES
(CERTIFICATE IN COMMUNITY HEALTH NURSING {{$details->year}} ACADEMIC YEAR)
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P.O Box 30195 00100,
Nairobi, Kenya
Telegrams:“MEDTRAIN” Nairobi




KCSE FULL INDEX NUMBER:
{{$indexnumber}}

Please complete this form ONLINE in BLOCK letters, print it out, sign and date it, and have it signed and stamped by the chief/Assistant chief and religious leader. Attach the following documents to the duly completed form and send it to the Director, KMTC P.O Box 30195 - 00100 Nairobi.

  1. National ID/Birth Certificate/Waiting Card,
  2. Form 4 certificate/Result Slip,
  3. School leaving certificate,
  4. A handwritten essay of not more than two hundred (200) words explaining why you feel that you deserve the scholarship and the contribution you will make to the community upon graduation.
  5. National ID of mother and father if alive, and
  6. Death certificate of mother and father if deceased
SECTION A: Applicant's Personal Particulars

i.Names as per ID/Passport/Birth Certificate : {{strtoupper($details->first_name." ".$details->middle_name." ".$details->last_name)}}

ii.KCSE Full Index No: {{$indexnumber}} Year of Examination: {{$details->yearofexam}}

iii. Postal Address: {{$details->address}} PostalCode: {{$details->postal_code}} Town: {{$details->town}}