Application Form

Complete the form below to apply for admission to Kilimatinde Institute of Health and Allied Sciences.

Applicant Information

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Phone Number *

Email Address

Address *

Academic Information

Previous School *

Highest Qualification *

Examination Index Number *

Year Completed *

Programme Selection

Programme *

Preferred Intake *

Study Mode *

Supporting Documents

Academic Certificate / Results *

PDF, JPG or PNG. Maximum size 2MB.

Birth Certificate

PDF, JPG or PNG. Maximum size 2MB.

Passport Photo *

JPG or PNG. Maximum size 2MB.

Declaration

I declare that the information provided in this application is true and correct to the best of my knowledge. I understand that providing false information may lead to rejection or cancellation of my application.