Page 1 of 1
Kipsoen National Polytechnic – Admission Form (
January
2026
)
Click
Here
to find the list of our courses
For More information:
Call/WhatsApp
0797868786
Follow our Facebook Page. Click
Follow
SECTION 1:
PERSONAL INFORMATION
Full Name(
As per your National ID/Birth Certificate
)
*
Gender
*
Gender
A
Male
B
Female
C
Other
Date of Birth
*
Nationality
*
National ID or Birth Certificate Number
*
Phone Number
*
Email Address
*
County of Residence
*
Sub-County of Residence
*
Postal Address
*
ZIP Code
*
Town
*
Village
*
SECTION 2:
PARENT / GUARDIAN INFORMATION
Full Name of Parent/Guardian
*
Relationship to Applicant
*
Relationship to Applicant
A
Parent
B
Guardian
C
Sponsor
Phone Number of Parent/Guardian
*
Email Address of Parent/Guardian (optional)
SECTION 3: ACADEMIC BACKGROUND
KCPE Index Number
*
Year KCPE was Completed
*
KCSE Index Number
*
Year KCSE was Completed
*
KCSE Mean Grade
*
Name of Secondary School Attended
*
Upload KCSE Certificate(File upload: PDF/JPG)
Click to choose a file or drag here
Size limit: 10 MB
SECTION 4: COURSE APPLICATION
Department Applying To:
*
Department Applying To:
A
Building and Civil Engineering
B
Mechanical and Automotive
C
Electrical and Electronic Engineering
D
Agriculture and Environmental Management
E
Hospitality and Tourism
F
Computing and Informatics
G
Business Studies
H
Fashion Design and Cosmetology
Course Level
*
Course Level
A
3
B
4
C
5
D
6
Course Applied For(
e.g. Agriculture extension level 5
)
*
Have you applied through KUCCPS?
*
Have you applied through KUCCPS?
A
Yes
B
No
Submit
