Ntti Application Form

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NTTI/QMS/REG/F09

For official use only

SERIAL NO:

NAIROBI TECHNICAL TRAINING INSTITUTE


P.O Box 30039 – 00100 Nairobi. ● Cell: 0721 233394 ● Tel: 020-8034403
E-mail: [email protected] or [email protected] ● Website: www.nairobitti.ac.ke

APPLICATION FORM FOR ADMISSION


SECTION A: PERSONAL DATA
SURNAME: OTHER NAMES:
PASSPORT/ID NO: DAY MONTH YEAR
DATE OF BIRTH
COUNTY:
POSTAL ADDRESS: TEL/MOBILE NO: E-MAIL:

GENDER (Tick appropriately) MALE: FEMALE:

COURSE APPLIED FOR:


K.C.S.E MEAN GRADE: MODE OF STUDY FULL-TIME: PARALLEL: EVENING:
(Tick appropriately)
INTAKE PERIOD (Tick appropriately) JANUARY: MAY: SEPTEMBER:

SECTION B: ACADEMIC PROFILE

PREVIOUS INSTITUTIONS/SCHOOLS ATTENDED


INSTITUTION/SCHOOL NAME ADDRESS FROM TO
MONTH YEAR MONTH YEAR

1.
2.

SIGNATURE: ……………………………………………………… DATE:……………………………………………………

SECTION C: FOR CONTINUING STUDENTS ONLY

TO BE COMPLETED BY RESPECTIVE HOD


C.R.N.M STATUS: ________________________________________________________________________________________

HOD SIGNATURE…………………………………………………… DATE & STAMP …………………………………....................

1. Attach Photocopies of KCSE Certificate, School Leaving Certificate, National Identity Card and Birth Certificate.
For Continuing Students, attach previous Module Results Slip / Certificate.
2. Pay non-refundable application fee of Kshs. 500.00. Use LIPA NA MPESA – 4062655 or Deposit to Institute’s accounts:
(i) National Bank: Harambee Avenue – A/C No. 01241003414700 (ii) Co-op Bank: Stima Plaza – A/C No. 01129070020700
3. Send or hand deliver this Application Form to:
THE PRINCIPAL
NAIROBI TECHNICAL TRAINING INSTITUTE
P. O. Box 30039-00100, NAIROBI

NAIROBI TECHNICAL TRAINING INSTITUTE IS ISO 9001:2015 CERTIFIED


Version E Revision 0

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