Kenya Aeronautics College Form

 

Prin rintt Form

KENY

ERON

UTIC

L COLLEGE

 Aviation House House compound, compound, KCAA Simulator Simulator Building, Building, P.O Box 6372-00200 Nairobi, Tel: +254-2-604559/604786/2132045 Mobile: 0722 990679, Email:  Email: [email protected] [email protected]  

R RE EG GIIS ST TR RA AT TIIO ON N  F FO OR RM M  (USE BLOCK LETTERS)

Section 1

Name and Contact Information

FIRST NAME

DATE OF BIRTH:

MALE

AREA CODE  TEL:

MIDDLE NAME

MONTH

FEMALE

DATE

YEAR

COUNTRY

OFFICE

OTHERS 

SURNAME

NATIONALITY

ID NUMBER

PASSPORT NUMBER

POSTAL ADDRESS

HOUSE

POSTAL CODE

CELLPHONE

EMAIL

PARENT/GUARDIAN COUNTRY OF PERMANENT RESIDENCE: NAMES OF PARENT/GUARDIAN: PARENT/GUARDIAN OCCUPATION:

Section 2

Course details

STATE THE INTENDED COURSE OF STUDY (TICK ONE) Diploma In Aeronautical Engineering (Airframes And And Engines or Avionics) 1st Year

2nd Year

3rd Year

Tick The Year Enrolling In.

Diploma In Electrical Engineering (Electronic Option/Telecomm Option/Telecomm/Power /Power Option) Option) 1st Year

2nd Year

3rd Year

Tick The Year Enrolling In.

Diploma In Flight Operations & Dispatch Diploma in Air cargo Services & Dangerous goods Cabin Crew T r av e l an d T o u r i s m Sales and Marketing

Section 3 Current Qualifications and Work Experience 1. Current Studies 

Are you studying?

Yes

No

If yes, write details below and indicate the results will be available Day

 KENYA AERONAUTICAL COLLEGE  –APPLICATION FORM YEAR 2010

Month

Year

1

 

Will you complete this course before commencing your new course at Kenya Aeronautical College? Yes No 2. Secondary School Studies Completed Years enrolled From:

To:

From:

To:

Institution

Name of Qualification

3. Post-Secondary (Tertiary) Studies Completed (e.g. Degree/Diploma)

Years enrolled From:

Section 4

Institution

Name of Qualification

To:

General Information

1.  Are you also applying for a direct entry for aircraft maintenance engineer’s license program? (Yes/No)  (Yes/No)  2.  Do you intend to take a study course in engines overseas? Yes/No 3.  State the mode of paying college fees (tick one) Per term

Per year

Installments

4.  Will you be paying fees in us dollars, sterling pounds, or Kenyan shillings?

5.  List any medical problems or special requirements_____________________________________________________  

6.   6.

State the person who will be responsible for paying your tuition fees [ to to be filled by the respective party] Name Occupation _________________________________________________ Signature _____________________________ Address _____________________________________________________ Telephone ____________________________

Section 5

Attachments Declaration

The following items must be included to ensure your application is complete, incomplete applications applications cause delays in processing and may cause a hinder to the processing of the application form.

Certified Academic Transcripts Two academic referees Personal statement stating why you to want join Kenya Aeronautical College

A non-refundable Application fee of 1100 Ksh. NB: the promissory fee note should be signed by the above party and returned to the college before enrollment

I declare that to the best of my knowledge the information supplied in this application and the documentation supporting it is correct and complete. I acknowledge that the provision of incorrect documentation or withholding of documentation relating to my application may result in i n cancellation of enrollment by the institute. I understand that Kenya Aeronautical College reserves the right to discontinue di scontinue or later any course, subject or other arrangement without prior notice.

 Applicants Signature/Name:

Date:

FOR OFFICIAL USE ONLY Received 

Checked

Acknowledged 

 Action taken

 KENYA AERONAUTICAL COLLEGE  –APPLICATION FORM YEAR 2010

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