Scribd
Upload
350 views1 page

Application-Form Rti

This document is an application form for admission to the Railway Training Institute. It requests personal details of the applicant such as name, date of birth, contact information, gender, chosen course of study and intake. Academic history including previous qualifications and subject grades are also required. A non-refundable application fee of 1000 KES must be paid via bank deposit or M-Pesa with proof of payment submitted along with the completed form. The applicant declares that all information provided is true and the registrar will decide if admission is approved or not based on the details and documents submitted.

Uploaded by

Heavy Duty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
350 views1 page

Application-Form Rti

This document is an application form for admission to the Railway Training Institute. It requests personal details of the applicant such as name, date of birth, contact information, gender, chosen course of study and intake. Academic history including previous qualifications and subject grades are also required. A non-refundable application fee of 1000 KES must be paid via bank deposit or M-Pesa with proof of payment submitted along with the completed form. The applicant declares that all information provided is true and the registrar will decide if admission is approved or not based on the details and documents submitted.

Uploaded by

Heavy Duty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

RTI/AC/AR/F01

RAILWAY TRAINING INSTITUTE

Telephone 020 2378397/8 Railway Training Institute


Email: [email protected] P.O. BOX 42226 - 00100, GPO
Website: http://www.rti.ac.ke NAIROBI

APPLICATION FOR ADMISSION


PERSONAL DETAILS ADMISSION NO:……………………..
SURNAME OTHER NAMES

PASSPORT /ID
DATE OF BIRTH DATE MONTH YEAR

BIRTH CERTIFICATE NO.


EMAIL ADDRESS STUDENT
COUNTY MOBILE NUMBER 1:

CONTACT ADDRESS MOBILE NUMBER 2:

NAME OF NEXT OF KIN : RELATIONSHIP :

MOBILE NUMBER:

GENDER (Tick appropriately) MALE: FEMALE:


PROGRAMME
NAME OF COURSE APPLIED:
INTAKE:
Certificate Module 1 Module 2
Diploma Module 1 Module 2 Module 3
Advanced Diploma
PREVIOUS INDEX NO.
KCSE MEAN GRADE _____
MODE OF STUDY
FULL TIME PART-TIME
SUBJECT GRADES
NEW CONTINUING
ENG ____ KISW_____MATHS_____BIO______
STATUS DEFERRED REPEATER
PHY ____ CHEM ____
(Please Turn over)
OTHERS __________ _________ _________

EDUCATION BACKGROUND
SCHOOL/INSTITUTION FROM TO EXAMINATION QUALIFICATION
(YEAR) (YEAR)

Where did you get to know about us? ________________________________________________________________


APPLICANTS 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 would lead to automatic disqualification…………………………………………DATE………………………………………………………
FOR OFFICIAL USE ONLY
H.O.D REMARKS: (for deferred students/Repeaters) ………………………………………………………………….…………………………………….…………….

Course Approved / Not Approved: …………………………………………………………………………………………… .Signature………………………………………..…


REGISTRAR
Admission Remarks: Admitted Not Admitted Date: ………………………………………. Signature…………………………………….….
(Attach copies of Academic Certificates, Leaving Certificate, Birth Certificate & National Identity Card)
A Non- Refundable Application Fee of Kshs 1,000/- to be deposited to KCB Industrial Area Branch, Account No. 1102587699, and attach Bank Slip or
by M-pesa pay bill 522784 with your name as the account number. Indicate the transaction number on the application form then sent to:

THE DIRECTOR
RAILWAYS TRAINING INSTITUTE
P.O. BOX 42226 – 00100, GPO
NAIROBI. APPLICATION NO:……………………………

You might also like