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Baraton College Application Form

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Fix Passport Photo

Serial No………………………..
SR No……………………..

BARATON COLLEGE
Baraton Main Campus: P.O. Box 30-30306, Baraton, Tel: +254-725556120 <> Baraton Kapsabet Campus: P.O. Box 631-
30300, Kapsabet,<>Baraton Eldoret Campus Tel: +254-714486039 <>
Tel: +254-725999970 <> baratonacademic@gmail.com <>

SCHOLARSHIP APPLICATION FORM


Instructions: For Official Use Only
1. Please read and understand each item before filling in any Admission No………………………
Receipt No.………………………..
information
2. Print in blocks or type all required information
3. Return a completed form with non-refundable fee of KSh.1000
4. Attach four passport size colored photos
5. Attach copies of national ID or passport and all
academic/professional certificates and transcripts

SECTION 1: PERSONAL INFORMATION


Surname: Middle Name: First Name:
(As it appears on academic documents)
Day/Month/Year Place of Birth: Country:
Date of Birth: Gender: [ ] Male [ ] Female County:
Marital Status: Nationality: National ID No.
Religion: OR Passport No.
Next of Kin or Guardian contact Information (In case of Emergency)
Name: Relationship:
Address: Phone: Email:
Financial Support/Sponsorship
Who will pay your administrative fees while at Baraton College)?
Name (if not self): Relationship:
Permanent Address: Phone:
Email:
Current Address: (if different from permanent address) Phone:
Email:
SECTION 2: ACADEMIC INFORMATION
List all schools and colleges attended to date and attach copies of all the academic documents
Name From – To (month and year) Certificate awarded
SECTION 3: ACADEMIC PROGRAMME/COURSE YOUR ARE APPLYING FOR
First Programme: Second Choice: Third Choice:

Preferred Mode of Study Full time: [ ] Part Time: [ ] Distance/Virtual/Online: [ ]


(where applicable) School-based: [ ] Face to Face: [ ]
Preferred Kapsabet Campus: [ ] Eldoret Campus – Uasin Gishu: [ ]
(depends on the programme applied)
Date of Enrollment Month: Year:
Additional information
How did you learn about Baraton [ ] College website [ ] Teacher/College staff
College? (tick all that apply) [ ] College Brochure [ ] Former/current student
[ ] Radio ad [ ] Friend/family
[ ] Newspaper ad [ ] Other (Specify)

Briefly tell us why you want to study at Baraton College…………………………………………………………………………………………………….


……………………………………………………………………………………………………………………………………………………………………………………………

SECTION 4: DECLARATION
By signing this application form you confirm that the information you have given is correct

Student Signature: …………………………………………………… Date: ……………………………………………………………

SECTION 5: SUBMISSION OF THE APPLICATION FORMS


All completed forms should addressed to:
Office of Academic, Baraton College,
P.O. Box 30-30306, Baraton, OR P.O. Box 631-30300, Kapsabet OR P.O. Box 10772-30300, Eldoret

SECTION 6: FOR OFFICIAL USE ONLY


Approved /Not approved for admission
If Not approved reason……………………………………………………………………………………………………………………………………………………….

Signature…………………………………………………………… Date ……………………………………………………………………….

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