Kmtc Application Template Form PDF Details

The Kenya Medical Training College (KMTC) offers a pivotal gateway to numerous healthcare careers through its comprehensive application process outlined in the KMTC Application Form for the academic year 2014/2015. This form, designated as KMTC/QP-01/CAP, is a critical first step for candidates aiming to pursue certificate or diploma programs in the medical field. It requests detailed personal particulars, including but not limited to, the applicant's name, postal address, telephone contact, and the specific courses they wish to enroll in, highlighting a structured preference system for their desired study areas. Additionally, the form requires an in-depth disclosure of the applicant’s educational background, a necessary component for determining eligibility and suitability for the selected programs. Further sections address the needs of applicants with disabilities, ensuring inclusivity and equal opportunities for all candidates. Also noteworthy is the application fee payment procedure that accommodates various methods, including banking slips, bankers cheques, money orders, and M-Pesa, a popular mobile money payment system in Kenya, underscoring KMTC’s adaptation to accessible and user-friendly payment solutions. The form concludes with a declaration by the applicant to confirm the accuracy of the information provided, underscoring the importance of honesty and integrity in the application process. This application form, issued directly by the KMTC without charge, is a testament to the institution's commitment to offering quality medical training to a broad spectrum of Kenyan citizens and international applicants, fostering a competent healthcare workforce guided by the principles of professionalism and ethical practices.

QuestionAnswer
Form NameKmtc Application Template Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesapplication form for kmtc, kmtc portal application 2021, kmtc application, kmtc application deadline

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KMTC/QP-01/CAP

Telephone: +254-2-2725711/2/3/4

P.O Box 30195

00100, Nairobi

Fax: +254-2-2722907

Kenya

Website: www.kmtc.ac.ke

Telegrams. “MEDTRAIN” Nairobi

Email: admissions@kmtc.ac.ke

 

Kenya Medical Training College

 

ISO 9001: 2008 Certified

Ref No.____________

APPLICATION FORM FOR PRE-SERVICE CANDIDATES (CERTIFICATE/DIPLOMA PROGRAMMES 2014/2015 ACADEMIC YEAR)

APPLICATION FORM FOR REGULAR CATEGORY APPLICANTS

Please complete this form and send to the Director, KMTC P.O Box 30195 - 00100 Nairobi. The form should be filled in BLOCK letters. Attach copies of results slip/certificates, leaving certificates and ID/Passport/ Birth Certificate/Waiting card. Attach Application Fee in form of a Banking slip or Bankers Cheque of Ksh.1,000 ($50 for Non-Kenyans) Payable to The Director KMTC Account No. 0100358521700 at National Bank Hospital Branch (KNH). You can also pay application fee via M-Pesa (see details in section E of this form).

SECTION A: Applicant’s Personal Particulars

i.Names as per ID/Passport/Birth Certificate…………………………………………………………………………………………

ii.Postal Address…………………………Postal Code……………….........................................Town……………………………..

iii. ID/Birth Cert. No/Waiting Card No…………..……………………………..Gender: Male

Female

iv.Name of next of Kin …………………………………………………..Relationship …………..…….…………….…..………….

v.Nationality………………County……………………District/Sub-County……………………….Constituency………………………

vi.Mobile telephone contact (1) ……………………………………………… (2) ………………………………………………….

SECTION B: Course Application Details: Indicate 2 Choices ONLY in order of Priority:

1st Choice: Diploma in………………………….………………........ 1st Choice: Certificate in………………………………………

2nd Choice: Diploma in……………………………………………... 2nd Choice: Certificate in ……………………………………..

SECTION C:

Applicant’s Education Background:

(Attach copies of certificates)

 

School Attended……………………………………….Year of Exam……………….Mean Grade/Equivalent………………………

SECTION D:

Disability Assessment:

 

 

 

i Do you consider yourself a person with disability? Yes

No

Type/Class: Physical

Mental

(Please note that disability information is required for planning purposes and not criteria for selection)

ii Give details of the nature of Disability: ……………………………………………………………………………………………

SECTION E: Application fee details

Mode of payment: Banking Slip Bankers Cheque Money Order M-Pesa

Banking Slip/Banker’s Cheque/Money Order No/M-Pesa Ref. No.………………………………………Amount (Ksh).………………

(Note: For those paying via M-Pesa, Go to MPESA on your phone, select lipa na mpesa, select pay bill, enter business number as 964150, Enter your ID number as the account number, then enter amount – ksh.1022, ksh.22 being transaction fee. Wait for a message from M-Pesa and enter the confirmation code in the space above).

SECTION F: Applicant’s Declaration:

I declare that the information given herein is true and accurate to the best of my knowledge and fully understand that any information found to be false will lead to automatic disqualification from consideration and/or prosecution.

Signature of Applicant.……………………................... Date……………………………………………………

THIS FORM IS NOT TRANSFERABLE AND ISSUED FREE OF CHARGE

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Step no. 1 for submitting kmtc application deadline

2. After filling in the last section, go on to the subsequent stage and enter the necessary details in all these blank fields - SECTION C Applicants Education, Attach copies of certificates, SECTION D Disability Assessment, i Do you consider yourself a, TypeClass, Physical cid, Mental cid, Please note that disability, ii Give details of the nature of, SECTION E Application fee details, Mode of payment Banking Slip cid, Bankers Cheque cid, Money Order cid, MPesa cid, and Banking SlipBankers ChequeMoney.

SECTION D Disability Assessment, TypeClass, and Money Order cid in kmtc application deadline

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