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Emergency Medical Technician Application Form

1. APPLICANT'S DETAILS

2.PERMANENT ADDRESS

3.PARENT/GUARDIAN INFORMATION

Father

Mother

Guardian

4.EMERGENCY CONTACTS

emergency contact one

emergency contact two

5.EDUCATIONAL BACKGROUND

1.Secondary Education Details

Please provide details of your education starting with the most recent institution you attended.

2.TERTIARY INSTITUTION ATTENDED

 

6.COURSE APPLIED FOR

NB                               Online(Blended-version) is available for all academic courses for every intake.

 

7.FINANCING OF STUDIES

8. UPLOAD ATTACHMENTS

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Maximum file size: 268.44MB

9. INDICATE HOW YOU LEARNT ABOUT KENYA RED CROSS TRAINING INSTITUTE

10. ATTESTATION

I hereby certify that the information given in this application is correct and complete to the best of my knowledge, and hereby give my permission to the admissions office to obtain any verification deemed necessary to process my application. I further certify that I will include with this application my application fee receipt and other documents as required in the application instruction without failure.