FM-RGAA-001
Serial No ……………………..
KENYA METHODIST UNIVERSITY
Main Campus, Meru; P.O BOX 267 - 60200 , Meru —Kenya, Tel: 254-064-31206, 0724256162, 0734310655
Nairobi Campus: P.O BOX 45240 - 00100, GPO, Nairobi . Tel: 254-020-248172, 0725751878, 0735701311
Mombasa Campus: P.O. BOX 89983—80100 , Mombasa . Tel: 0748414998, 0743084019
APPLICATION FOR ADMISSION
1. Read each item carefully before filling in any information
2. Complete all appropriate sections in capital/block letters
3. Return with non-refunded application fee of Kshs . 1,000 for For official use only
Kenyan Citizens or 20 US Dollars for Non-Kenyan Citizens
4. Attach 1 passport size photograph (write your name on the reverse side) Receipt No.
5. Attach a copy of National ID/Passport, copies of academic/professional
Certificates and transcripts where applicable.
SECTION A: PERSONAL DATA
Name: (as it appears in other academic
documents)
Date of Birth: Day Month Year Gender: Female ( ) Home County:
/ / Male ( ) Sub - County:
Nationality: Marital Status: National ID No.:
Religion: Denomination: Passport No.:
Permanent Address
P.O. BOX Code: City/Town:
Phone: E-mail:
Current Address (if different from above)
P.O. BOX Code: City/Town:
Phone: E-mail:
Next of Kin or Guardian’s contact incase of emergency
Name: Relationship:
P.O. BOX Code: City/Town:
Phone: Alternative Phone: E-mail:
Financial Information
How do you expect to meet the financial expenses for study while at KEMU?/Self/parent/guardian/sponsor)
Name (if not self) Relationship:
Address: Phone: E-mail
ADDITIONAL INFORMATION
Do you have any form of disability (Abled differently) ? Yes No
If yes above, explain briefly and attach Disability Certificate to this application
SECTION B: ACADEMIC PROFILE
List of school/college/University attended. Attach copies of all academic certificates and transcripts
NAME OF INSTITUTION FROM TO GRADE/ CLASSIFICATION INDEX NO/REGISTRATION NO
(YEAR) (YEAR) AWARDED
SECTION C: ACADEMIC PROGRAMME APPLIED FOR:
1st Choice Programme
2nd Choice Programme
3rd Choice Programme
Specify mode of study Full time Part time Distance/Online learning
Specify Campus of Main Campus Nairobi Campus Mombasa Campus Meru Town Centre
preference
Preferred Trimester of Enrolment: Trimester 1 (Jan) Trimester 2 (May) Trimester 3 (Sept) Year : …………
ADDITIONAL INFORMATION
Indicate who referred you or how you learnt about Kenya Methodist University
University Website Prospectus Newspapers Television Social Media Career Day
Exhibitions Radio High school teacher Any other (Please indicate): .
Referred by KeMU Staff : Name P.F No ________
Referred by KeMU Student : Name Reg. No ________
SECTION D: DECLARATION
By signing this application form I confirm that the information is correct
Student signature Date
SECTION E: SUBMISSION OF APPLICATION FORMS
When you complete this application form send to:
Scanned Copies of this application to be sent to:
The Registrar (Academic Affairs)
[email protected] or
[email protected] Kenya Methodist University
Online Application:
Main Campus, P.O. Box 267 - 60200 Meru
Or Nairobi Campus, P.O. Box 45240—00100 Nairobi http://virtual.kemu.ac.ke/hds/
Or Mombasa Campus, P.O. Box 89983-80100 Mombasa
SECTION F: FOR OFFICIAL USE ONLY
Recommendation: Teaching Department
Programme:
Recommended/Not Recommended:
Not Recommended: Reason
CoD: Name: Signature: Date:
Admission Committee
Approved/Not Approved:
Chairman: Name: Signature: Date:
Registrar (Academic Affairs)
Name: Signature: Date:
Ver. No.1.0
Rev Date: 26-01-2024
