APPLICATION FORM

Your name / jina lako

Index Number

Phone number / namba ya simu

Email address / barua pepe

Form IV subjects passes / matokea form 4 (including Biology= D Chemistry = D Physics = D Any other subject = D)

Course offered / kozi zinazotolewa Course offered / kozi zinazotolewaNursing and Midwifery (Uuguzi na Ukunga)Clinical Medicine (Utabibu)medical laboratory (Maabara)