THE ELDORET NATIONAL POLYTECHNIC
ONLINE APPLICATION

Step 1: Applicant Details

Applicant Names

Gender

Date of Birth

Marital Status

Religion

National ID No

Nationality

Constituency

Resident location

Resident sub location

Mailing Address e.g. P.O. Box 4461-30100 Eldoret

Mobile No

Email Address

Parent/Guardian Names

Parent/Guardian Mailing Address e.g. P.O. Box 4461-30100 Eldoret

Parent/Guardian Mobile No

Parent/Guardian Email Address[Optional]

Course level

Department

Course Name

KCSE Index Number

KCSE Year

KCSE Mean Grade

KCSE Subjects Performance.Enter the individual subject performance separated by comma e.g. English=C+,Maths=B-,Biology=D+

High School Name

MPESA Number to use to pay application fee[Ksh.750]

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