THE ELDORET NATIONAL POLYTECHNIC

Online Application Form

INSTRUCTIONS

All the fields are required. No field should be left blank

PERSONAL DETAILS

First Name:     Last Name:

Other Name:

Parent/Guardian :

Phone Number:

Email Address:

ID Number:

Postal Address

County:

EDUCATION DETAILS

High School Name:

KCSE Year:     Index Number:

KCSE MEAN GRADE:

COURSE DETAILS

Course Applied for:

ATTACHMENTS

NOTE: All the certificates and ID should be in pdf format. Application Letter should either be in pdf or word

Results Slip/Certificate:     Application Letter:

Leaving Certificate:     ID/Passport/Birth Certificate:

PASSPORT PHOTOS

Photo:     Photo: