Application Details

Part I :- Course Info Course : Diploma in Electrical & Electronics Eng. (Telecommunication Option) (DEE(T)) Module : 2

Part II :- Personal Info First Name : Middle Name : Last Name : Date of Birth : Birth Cert. No. : Birth Certificate : Marital Status : Female
Male Nationality : ID No. : Photo of ID : Passport Photo: Marital Status : Single
Married Phone No. : Email : Physical/Special Need : Are you an Orphan? :

Part III :- Contact Info County : Sub County : Postal Address : Parent's/Guardian's Name : Parent's/Guardian's Phone No. : Alternative Phone No. :

Part IV :- Academic Info Highest Qualification :

Level	Index No	Exam Year	Mark/Grade	Certificate

Part V :- School Leaving Certificates Primary School : Secondary School :

Application Details

Level

Index No

Exam Year

Mark/Grade

Certificate