S T . P A U L ’S U N IV E R S IT Y
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VE RS I T
S
Y
SER
VANT
S
APPLICATION FOR ADMISSION
NI
Private Bag 00217 LIMURU, KENYA
Email: assistantregistrar@stpaulslimuru.ac.ke
Website: www.stpaulslimuru.ac.ke
U
PAU L
’S
T.
PROFESSIONAL ACCOUNTANCY COURSES
CPA/CPS/KATC
NI
OF GOD AND HUMA
TY
KASNEB REGISTRATION NUMBER_________________________
APPLICATION FEE Ksh 1000
APPLICATION PROCEDURE
1.
Read this form carefully before filling any information. Give detailed information as possible. Use extra paper for additional
information, if you do not have enough space.
2.
Attach all photocopies of academic and professional certificates. .
3.
Attach two (2) recent coloured passport size photograph ID Size
4.
Send completed forms with Kshs.1000 non-refundable application fee
.
Address Application package to:
The Assistant Registrar
St. Paul’s University
P O Private Bag
Limuru 00217
KENYA
Attach 2
recent
passport-sized
photographs
here
PERSONAL INFORMATION
_______________________________
Last (family) Name
__________________________
Middle Name
_______________________________
First Name
Date of Birth ______________________________________
Citizenship ________________________________
Country of Birth ___________________________________
Passport No*./ID No. ________________________
Sex:
Female [ ]
Male [ ]
Marital Status:
Single [ ]
Married [ ]
Divorced [ ]
Widowed [ ]
Years of formal education in English ____________ Level: Primary ____ Secondary _____ Post Secondary ____
Other Languages spoken or written ________________________________________________________________
Do you have any disability?
Yes [ ]
No [ ] If yes state nature of disability ____________________________
*If you are a foreign applicant complete the student information sheet and return with a letter from your sponsor
guaranteeing payment and copy of passport.
CURRENT ADDRESS
Postal Address ________________________________________
Code _________________________________
City/Town ___________________________________________
Country _______________________________
1
Telephone (Home) _____________________________________
(Office) _______________________________
Email _______________________________________________
Mobile ________________________________
NEXT OF KIN (In case of emergency)
Name _______________________________________________
Relation to applicant _____________________
Address _____________________________________________
Telephone ______________________________
Email _______________________________________________
Mobile ________________________________
EDUCATION INFORMATION
Please list all the schools, colleges, or universities previously attended (Do not list primary schools)
Name of Institution
Area of Study
Duration of Study Degree/Diploma/Certificates attained
_______________________________ _________________ ______to______ ______________________________
_______________________________ _________________ ______to______ ______________________________
_______________________________ _________________ ______to______ ______________________________
_______________________________ _________________ ______to______ ______________________________
ENROLLMENT INFORMATION (Tick one of the following)
Year of Entry ____________________
January
July
I would like to be considered for:Certified Public Accountant (CPA)
Section___________
Kenya Accounting Technician Certificate (KATC)
Evening Classes
Day Classes
Are you a graduate of St. Paul’s? Yes
No
If yes, when? _________________________ which programme ________________________________________
FINANCIAL INFORMATION
How do you expect to meet the financial expenses for study while at St. Paul’s?
[ ] Fundraising
[ ] Sponsorship
[ ] Parent/Guardian
[ ] Self-Sponsorship
[ ] Employer
[ ] Other _______________________
ADDITIONAL INFORMATION
How did you learn about St. Paul’s:
[ ] Newspaper
[ ] Church Announcement
[ ] Family/Friend
[ ] University Prospectus
REFEREES
Please provide complete addresses of your references in the space provided.
1. Pastor/Minister/Priest/other(Please specify) _________________________________
Name ________________________________________________________________________________________
2
_____________________________________________________________________________________________
Post Office Box
Town
Code
Telephone ____________________________________
With area code
2. Former Teacher/Lecturer or Business Supervisor (indicate which)
Name ________________________________________________________________________________________
_____________________________________________________________________________________________
Post Office Box
Town
Code
Telephone ____________________________________
With area code
Why do you wish to study through St. Paul’s? (Give a brief account)
I certify that all information given is true and accurate to the best of my knowledge. False information may lead to dismissal if
admitted.
Signature _______________________________________
Date ______________________________________
FOR OFFICIAL USE ONLY
Recommendation of Department of business & IT
Recommended: Programme ____________________________________________________________________
Year of study________________Semester_____________________________
Not Recommended: Reason ____________________________________________________________________
Referred to _________________________________________________________________________________
Head of Department’s Signature ________________________________
Date _________________________
Endorsed by Dean of Faculty _____________________________________________________________________
Dean’s Signature ____________________________________________
Action by Registrar __________________________
Date _________________________
Signature _____________________
3
Date ____________