KoTTI APPLICATION FORM FOR ADMISSION

For Official Use
SERIAL NO:
APPLICATION FORM FOR ADMISSION

SECTION A: PERSONAL DETAILS
Name: Marital Status:
ID/Passport No: Birth Cert. No: Date of Birth:
GENDER (Tick appropriately) MALE:□ FEMALE: □
Nationality: County: Locality:
Mobile No: Address: Email:
Person with Disability:
SECTION B: ACADEMIC PROFILE
KCPE Index No: KCPE Marks: KCPE Grade:
KCSE Index No: KCSE Grade:
Previous Institution Attended(if any)
SECTION C: PARENT/GUARDIAN & LOCAL ADMINISTRATOR

Guardian/Parent Name: Mobile No: Address:
Name of Chief: Location: Tel:
SECTION D: COURSE DETAILS
COURSE APPLIED FOR:
INTAKE PERIOD (Tick appropriately) JANUARY: MAY: SEPTEMBER:
How Did you know about this institution? (a) Social Media □ (b) Our Website □ (c) Friend/mentor □( Give name of the
friend/mentor including phone number & admin in the table below) if any
Name: Staff□ student □ Mobile No: Admin No:
(d)other state:
SECTION E: HEALTH DETAILS
(a) Do you suffer from any illness? No□ Yes □
If Yes, specify
(b) Is any of your parent/guardian physical challenged/ill? No□ Yes □
If Yes, specify
MEDICAL EXAMINATION(to be completed by a government medical officer)
Description
a) Vision:
b) Hearing:
c) Physical Handicap:
d) Any previous Records of Treatment:
e) Any signs of communicable disease:
f) Any comment that institution needs to follow up to help the student:
The candidate named above has been examined by me and I can/cannot certify that he/she is medically and
mentally fit for the above course:
Medical Officer Name: …………………………………………………. Signature………………….. Date & Stamp:…………………………..
Mobile No: ………………………………………………
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Declaration:
I ……………………………………………………………………. ID No.........................................declare that I have read the
regulation governing organization, conduct and discipline of students at the Konoin Technical Training Institute
and understood their contents and meaning and undertake to abide by them.
SIGNATURE: ………………………………………DATE…………………………………………………
SECTION F: FEES STRUCTURE(Annually)

VOTE HEAD TERM I TERM II TERM III TOTAL
Tuition 19,000.00 17,641.00 0 36,641.00
EWC 6,620.00 6,259.00 0 12,879.00
L.T & T 1,860.00 2,089.00 0 3,949.00
Personal Emoluments 2,089.00 1,860.00 0 3,949.00
R.M. I 1,857.00 1,400.00 0 3,257.00
Activity 2,400.00 2114.00 0 4,514.00
Medical & Insurance 1,000 1,000 0 2,000
Session Subtotal 34,826.00 32,363.00 0 67,189.00
The above fees exclude:
(a) KNEC/KASNEB /NITA/CDACC Examination fees
(b) Professional Bodies Fees
(c) Other payments
Description Amount (Ksh)
Admission Fee 2,000
Student ID 500
Student Welfare fees (per term) 200
TVETA Fees 500
Caution Money 1,000
Total 4,200
Note the following: -
- Attach Photocopies of KCPE, KCSE Certificate/result slip, School Leaving Certificate, National Identity Card,
Birth Certificate & two-colored passports to this application form.
- Konoin Technical Training Institute does not have Boarding facilities. All students may rent houses or Private
Hostels at AIC Koiwa Church, Koiwa center or Kaptengecha center.
- Replacement/Renewal of the College ID is Ksh. 200.
- Any payment shall be paid to the college bank Account (KCB BANK, LITEIN Branch ACCOUNT
NO.1217674810). No cash shall be accepted.
- Students are required to purchase their own stationery, and any suitable attires for sports and Personal
Protective Equipment (PPE)
- Upon admission of our students, he/she can apply for HELB Loan and Government scholarship.
GOVERNMENT SCHOLARSHIP AND HELB LOAN FUNDING MODEL. Visit www.hef.co.ke
Need level Scholarship% Scholarship HELB HELBLoan HELB loan Household(P Household(Parent
Amount Loan% Amount and upkeep arent and and Guardian
Guardian)
Vulnerable 80% 53,751 20% 13,438 27,038 0% 0
Extremely 70% 47,032 30% 20,157 33,757 0% 0
Needy
Needy 50% 33,594 30% 20,157 33,757 20% 13,438
Less Needy 32% 21,500 48% 32,250 45,850 20% 13,438
REGISTRAR
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KoTTI APPLICATION FORM FOR ADMISSION

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KoTTI APPLICATION FORM FOR ADMISSION

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For Official Use

APPLICATION FORM FOR ADMISSION

KCSE Index No: KCSE Grade:

Previous Institution Attended(if any)

SECTION C: PARENT/GUARDIAN & LOCAL ADMINISTRATOR

SECTION F: FEES STRUCTURE(Annually)

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