KABU/MKT/F007

K UNIV

KABARAK UNIVERSITY
RA E

RS
A
KAB

ITY
2000

1 PETER 3:15

EDU
CATIO
N IN BIBLICAL PERSPEC
T I VE Education in Biblical Perspective

APPLICATION FORM
READ THE APPLICATION INSTRUCTIONS BEFORE COMPLETING THIS FORM
COMPLETE ALL APPROPRIATE SECTIONS IN CAPITAL/BLOCK LETTERS AND RETURN WITH YOUR NON-REFUNDABLE
APPLICATION FEE AND OTHER SUPPORTING DOCUMENTS TO:
AFFIX
The Admissions Office Kabarak University
PASSPORT
Private Bag - 20157, KABARAK, Nakuru-Eldama Ravine Road
Tel: 020-2114658 / 0729-223370 PHOTO
Email: admissions@kabarak.ac.ke
www.facebook.com/kabarakuniversity
@KabarakUniv

PLEASE FILL IN CAPITAL LETTERS

1. APPLICANT’S DETAILS
FULL NAMES
(as per secondary school certificate or equivalent)
TITLE: MR [ ] MRS [ ] MS [ ] GENDER: MALE [ ] FEMALE [ ] MARITAL STATUS: MARRIED [ ] SINGLE [ ]
DATE OF BIRTH: NATIONALITY: NATIONAL ID/BIRTH CERT. NO/PASSPORT NO:
COUNTY: SUB-COUNTY: MOBILE NO:
P.O. BOX: CODE: TOWN: EMAIL:
2. PARENTS’ CONTACTS GUARDIAN CONTACTS (Tick where applicable)
FATHER’S NAME: ALIVE DECEASED MOTHER’S NAME: ALIVE DECEASED
MOBILE NO: MOBILE NO:
P.O. BOX: CODE: TOWN: EMAIL:
OCCUPATION: OCCUPATION:
3. SPOUSE’S / NEXT OF KIN CONTACTS (Tick where applicable)
SPOUSE’S NAME: NEXT OF KIN NAME:
MOBILE NO: P.O. BOX: CODE: TOWN: EMAIL:
4. EDUCATIONAL BACKGROUND
INSTITUTION ATTENDED: FROM (YEAR): TO (YEAR): CERTIFICATE AWARDED MEAN GRADE:

5. EDUCATIONAL PLANS (tick appropriately)

1. PROGRAMME APPLIED FOR: DOCTORATE [ ] MASTERS [ ] BACHELORS DEGREE [ ] DIPLOMA [ ] CERTIFICATE [ ]
2. PROGRAMME NAME: Specialization:
3. MODE OF STUDY REGULAR [ ] SCHOOL-BASED [ ] ONLINE [ ] WEEKENDS [ ] EVENING [ ]
4. PREFERRED INTAKE JANUARY [ ] APRIL [ ] MAY [ ] AUGUST [ ] SEPTEMBER [ ] DECEMBER [ ]
6. CAMPUS WHERE STUDY WILL BE UNDERTAKEN
MAIN CAMPUS [ ] TOWN CAMPUS [ ]
7. FINANCING OF STUDIES
Please Tick: SELF [ ] PARENTS/GUARDIANS [ ] GOVERNMENT/HELB [ ] OTHER SPONSORSHIP [ ]
8. RELIGION
Please Tick: CATHOLIC [ ] PROTESTANT [ ] MUSLIM [ ] HINDU [ ] OTHER [ ]
9. STATE WHETHER YOU HAVE ANY SPECIAL NEEDS THAT REQUIRE SPECIAL ATTENTION
Please Tick: Yes [ ] No [ ]
If Yes, state the need: SENSORY [ ] MENTAL [ ] VISUAL [ ] HEARING [ ] PHYSICAL [ ] OTHER [ ] ....................... .............................

10. TELL US HOW YOU LEARNT ABOUT KABARAK UNIVERSITY

RADIO [ ] TELEVISION [ ] NEWSPAPERS [ ] FRIENDS [ ] CAREER EXHIBITION [ ] OTHER (State) .......................
.......................................................................................................................................................................................................................................
11. CONSENT (tick appropriately):
I consent that information containing my personal data, conduct, fees status and academic progress may be made available to my
Parent/Guardian/Sponsor or other University Stakeholders as appropriate.

FORM SERIAL NO:

12. AGREEMENT
As a University with Biblical Christian foundation, it is expected that students will strive for Biblical standards of personal character,
conduct and discipline in dealing with all people within and outside the University. In accordance with the University Moral Code, the
students should aim at all times in all places, to set apart in one’s heart Jesus Christ as Lord (1 Peter 3:15)
I hereby declare that I will abide by the rules and regulations of Kabarak University

Signature....................................................................................... Date......................................................................................

Parent/Guardian Signature.............................................................. Date......................................................................................

Sign your application form before returning it to the nearest Kabarak University Campus

13. APPLICATION CHECKLIST

1. Duly filled and signed application form
2. Copy of KCSE results slip/certificate and school leaving certificate
3. Copies of certificates and all transcripts, Masters, Bachelors, Diplomas and Certificates
4. Two (2)recent passport size photographs (write your name on reverse side)
5. Copy of national ID/Passport or Birth Certificate
6. Non-refundable Application Fee: Certificate - Kshs. 500 or USD 5.00 for foreign applicants; Diploma & Undergraduate - Kshs. 1,000
or USD 10.00 for foreign applicants; Postgraduate - Kshs. 1,500 or USD 14.00 for foreign applicants.
No cash payment*

ADDITIONAL REQUIREMENTS FOR INTERNATIONAL STUDENTS

1. An official translation of academic records (where language of study is not English)
2. A current financial guarantee letter
3. Recognition, equation and verification of academic documents
4. A copy of Passport
Application Fee is payable through any of the following Kabarak University bank accounts:
• Kenya Commercial Bank, A/C number 1109663161, Nakuru Branch
• Equity Bank, A/C number 0310294445167, Nakuru Branch (Kenyatta Avenue)
• Co-operative Bank of Kenya, A/C number 001129882644500, Nakuru Branch
• Mpesa Pay Bill number 511480 with the applicant’s name as the account number
• For International applicants, application fee is payable through the USSD Account name, Kabarak University Online
Education, A/C number 0040110000021, Access Bank Kenya, Nakuru Branch
REGISTRATION
Students are required to be registered for classes prior to the beginning of any semester. As a new student, you will be given orientation
on registration procedures during the registration/orientation period.
ONLY COMPLETE APPLICATION FORMS WILL BE PROCESSED. DEADLINES MUST BE OBSERVED.
FOR OFFICIAL USE ONLY

Date Application received.......................................................................................................................................................................

Recommendation by the School
Accepted [ ]
Rejected [ ] Reason for rejection.....................................................................................................................................................

Name..................................................................................Sign............................... Date and Stamp.................................................................

DEAN OF SCHOOL

Name..................................................................................Sign............................... Date and Stamp.................................................................

DIRECTOR, POSTGRADUATE STUDIES AND RESEARCH

Kabarak University RESERVES THE RIGHT OF ADMISSION

More information may be obtained from the Office of Registrar, Academic Affairs, Kabarak University
www.kabarak.ac.ke

Kabarak University Moral Code

As members of Kabarak University family, we purpose at all times and in all places, to set apart in one’s heart, Jesus Christ as Lord.
(1 Peter 3:15)