Chuka University Application Form PDF Details

Are you interested in studying at Chuka University? The university has an online application form that you can use to apply. In this article, we will provide information on how to complete the application form. Additionally, we will provide tips on how to submit a successful application. So, if you are interested in pursuing your studies at Chuka University, keep reading!

QuestionAnswer
Form NameChuka University Application Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other nameschuka university admission letters, chuka university students portal, chuka student portal, chuka university online registration portal

Form Preview Example

 

CHUKA

 

UNIVERSITY

Telephone:

020 2310512

COLLEGE

P.O Box 109 -60400

 

020 2329073

CHUKA

Fax line:

020 2310302

 

 

OFFICE OF THE REGISTRAR ACADEMIC AFFAIRS

AFFIX CURRENT

PASSPORT PHOTO

HERE

APPLICATION FORM FOR SELF-SPONSORED UNDERGRADUATE DEGREE_____DIPLOMA____ AND

CERTIFICATE____ PROGRAMMES (tick as appropriate)

NOTES:

a)This form should be completed and returned to the REGISTRAR (ACADEMIC AFFAIRS), CHUKA UNIVERSITY COLLEGE, P.O. BOX 109 -60400, CHUKA, on or before the closing date as advertised.

b)Sections A, B, C and D of this form should be completed in Block Letters.

Ensure that you attach the Following;

c)Certified copies of your Result Slip, Certificates and Transcripts.

d)ORIGINAL RECEIPT (Application Fee): KShs. 2,000 for ALL Degree Programmes, Kshs. 2,000 for all

Undergraduate Diploma Programmes and Kshs. 1,000 for All Certificate Programmes: Payable to;

Account Name; Chuka University College, Kenya Commercial Bank; Account No: 1103755439 OR

Cooperative Bank; Account No: 0112905818900.

e)Copy of your National ID Card or Birth Certificate.

SECTION A: PERSONAL DATA

Name: ……………………………………………………………………………………………………………………………………….

(Surname)(Other names in full)

Date of Birth: ………………….Sex: ……………. Marital Status: …………………Religion: …….…………………..

Nationality

 

ID/Passport No

 

 

 

 

 

 

County

 

Phone No

 

 

 

 

 

 

District

 

P.O. Box

 

 

 

 

 

 

Constituency

 

Town

 

 

 

 

 

 

 

Email address

 

Postal Code

 

 

 

 

 

 

 

 

SECTION B: ACADEMIC HISTORY

a) Secondary School Attended

Year

Grade

 

Other Relevant Qualifications

b) Institution Attended

 

Year

 

 

 

 

Qualification/Award

c) State any relevant academic/professional qualifications or experience……………………………………………………

………………............................................................................................................................................................

............................................................................................................................................................................

SECTION C: CHOICE OF COURSES

State the course(s) for which you wish to be considered for admission.

State whether you are applying for Degree/Diploma/Certificate :_________________________________

Write below, the title of the Course(s) you are

 

Mode of Study

 

applying for;

 

 

 

 

 

 

 

SSP Regular

Evening

Weekend

Sch. based Mode

 

 

 

 

 

First:_____________________________________

 

 

 

 

 

 

 

 

 

Second:__________________________________

 

 

 

 

 

 

 

 

 

 

Preferred Campus (Chuka, Embu Town, Igembe ):________________________

a)Have you ever been admitted to Chuka University College previously (YES/NO)? ____________________

If YES, indicate the previous Registration number………………………………………………………………………………………….

Give reasons for applying afresh …………………………………………………………………………………………………………………..

Indicate how you intend to finance your studies………………………………………………………………………………………….

SECTION D: DECLARATION

I certify that the information given in this application form is correct to the best of my knowledge

Sign…………………………………………………………………………………………..Date…………………………………………………………..

b)Name of Employer (if any)………………………………………………………………………………………………….….………………..

Recommendation …………………………………………………………………………………………………….………………………………….

Designation…………………………………………………………..……..……………Sign…………………………………………..……………..

Official Stamp

SECTION E: FOR OFFICIAL USE ONLY

a)Recommendation of the Head of Department (Recommended____ Not Recommended_____)

Comments………………………………………………………………………………………………………………………………..………………….

Sign…………………………..………………………………………………………………..Date……………………………………..…………………

Official stamp

b)Recommendation of the Dean of Faculty (Recommended_____ Not Recommended_____)

Comments……………………………………………………………………………………………………………….…………………………………..

Sign……………………………………………………………………………….…………..Date…………………………………………………………

Official stamp

c)Recommendation of the Deans Committee (Recommended____ Not Recommended_____)

Comments……………………………………………………………………………………………………………………….…………………………..

Sign………………………………………………………………….…………………………Date…………………………………………..……………

Official stamp

d)Approval by Registrar (AA)

Sign………………………………………………………………….…………………………Date…………………………………………..……………

Official stamp