KAFU/F/604/001

AFFIX
COLOURED AND
CURRENT
PASSPORT SIZE
PHOTO HERE

KAIMOSI FRIENDS UNIVERSITY

DIRECTORATE OF GRADUATE STUDIES APPLICATION FOR GRADUATE
STUDIES

REQUIREMENTS

NB: (i) Three Copies of this form should be submitted and returned to the
Director of graduate studies, Kaimosi Friends University,
P.0. Box, 385-50309, KAIMOSI, KENYA, Tel: 0720078299
(ii) The form should be typed or completed in block Letters
Attach original application receipt. Application N0..........................
Attach a coloured passport size photo on each form
(iii) Send referee forms (3) direct to the Director, DGS
(iv) Attach copies of your Secondary School certificate, degree certificate,
official degree transcripts and any other testimonials on each duly

completed form.

Note: ALL PAYMENTS INCLUDING KSH 2,000 FOR REGISTRATION SHALL BE

PAID USING e-CITEN’S JIUNGE APP.

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SECTION A
1. Name:
..........................................................................................................
(Surname) (Other names in full)

2. Current Address: ................................................................................

.................................................................................
County: ...........................................................................................
Sub-county:........................................................................................
Location:...........................................................................................
Sub-location:......................................................................................
Village:.............................................................................................

3. Permanent Address ( if different from the current address)

..........................................................................................................
........................................................................................... ..............
4. Tel/Mobile N0(s):................................................................................
Email Address of student:......................................................................
5. Date of Birth: ......................................... Sex........................................
6. Citenship:.............................................. ID/Passport N0:.........................
7. Marital Status:..................................................................................... 8.
Name and Address of next of king ( state relationship )

..........................................................................................................

..........................................................................................................

..........................................................................................................

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SECTION B
1. University and degrees you obtained including the classification. You should
attach copies of certificated and academic transcripts showing the grades
obtained in each course.
(a) First degree
(i) University attended:...................................................................

(ii) Dates attended:.........................................................................

(iii) Field of study:...........................................................................

( e.g. History, Economics , Physics, Chemistry, etc)

(iv) Degree awarded:.........................................................................

( e.g. BSc. Upper 2nd Class honors)

(v) Date awarded:............................................................................

(b) Second degree:

(i) University attended:...................................................................

(ii) Dates attended:

(iii) Field of study:....................................................................................................................................................

( e.g. History, Economics , Physics, Chemistry, etc)

(iv) Degree awarded:.........................................................................

( e.g. M.A(History); MSc. (Physics).

(v) Date awarded:............................................................................

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(c) Other degrees/ Diploma (where applicable)

....................................................................................................

....................................................................................................

....................................................................................................

(d) Research Experience (if any)

(List of publications, research reports, dissertation, thesis etc)

Attach separate sheet if necessary

....................................................................................................

....................................................................................................

(e) Employment Record:

Position Place of employment Date of employment (from –to) ............................ ................................ ............................... ............................ ................................ ................................ ...........................

................................ . ................................

(f) Indicate competency in other languages other than English

.........................................................................................................

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SECTION C
2. The graduate degree applied for:

(i) Name of degree:................................................................

(ii) School:…………………………………………………………………………………………………

(iii) Department:……………………………………………………………………………………….

(iv) Field of study/Subject:…………………………………………………………………………

(v) Mode of Study - Tick as appropriate

Part time

Full time

School - based

Weekend intensive

(vi) Proposed date of Commencement of study:……………………………………....

(vii) Expected date of Completion:……………………………………………………………….

(viii) Institution where research work is to be done if not at Kaimosi

Friends University :…………………………………………………………………….

3. Name and address of finance sponsor:

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.......................................................................................................

...............................................................................................
4. Name and Address of THREE Academic Referees

(i) Name: ..................................................................................

Address:……………………………………………………………………………………………………….

Email (mandatory):…………………………………………………………………………………….

(ii) Name: ..................................................................................

Address:……………………………………………………………………………………………………….

Email (mandatory):…………………………………………………………………………………….

(iii) Name: ..................................................................................

Address:……………………………………………………………………………………………………….

Email (mandatory):…………………………………………………………………………………….

Applicant’s signature :........................................ Date:...........................

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SECTION D
TO BE COMPLETED BY THE UNIVERSITY
(a) (i) RECOMMENDATION BY THE DEPARTMENTAL GRADUATE
STUDIES COMMITTEE (DGSC)

(Enter below ACCEPT OR REJECT as may be applicable)

……………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………

(ii) Give reasons for REJECTION

………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………

(iii) University Supervisor(s)

....................................................................................................

....................................................................................................

...................................................................................................

(iv) Other Supervisors

....................................................................................................

....................................................................................................

Signed & Stamped by Chair, DGSC:................................................................

Date:....................................................................................................

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(b) RECOMMENDATION BY THE SCHOOL GRADUATE

STUDIES COMMITTEE (SGSC)

(Enter below ACCEPT or REJECT as may be applicable)

……………………………………………………………………………………………………………………….......

………………………………………………………………………………………………………………………………

Give reasons for REJECTION

………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………

Signed & Stamped by Chair, SGSC:.............................................................

Date:................................................................................................

(c) RECOMMENDATION OF THE BOARD OF DIRECTORATE OF

GRADUATE STUDIES (DGS)

(Enter below ACCEPT or REJECT as may applicable)

………………………………………………………………………………………………………………………………....

Registered with effect from:.................................................................

Signed & Stamped:................................................................................

DIRECTOR, DGS

Date: ..........................................................................................
Official Stamp

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