HIGH SCORE

Jina Kamili (Full Name):

Jinsia (Gender):

Male

Female

Tarehe ya Kuzaliwa (Date of Birth):

Mahali ulipozaliwa (Place of Birth):

Dini (Religion):

Simu (Phone):

Mahali Unapoishi (Residential Area):

Kiwango cha Elimu(Your Education Level):

Anayekulipia Ada (Fee Sponsor):

Jina Kamili (Full Name):

Anapoishi Mzazi/Mlezi (Residential Area):

Namba za Simu za Mzazi/Mlezi (Parent's Phone):

Je, Una Tatizo Lolote la Kiafya la Kudumu? (Do You Have Any Persistent Health Issue?):

Ndiyo/Yes

Hapana/No

Kama Lipo, Eleza (If 'Yes', Explain):

Select Course Type:

Long Course

Short Course