Apply to join our college

Please fill the form below, a registration fee of Ksh 1,000 is required before submission.

Basic Info

First Name *

Please Enter First Name

Middle name

Please Enter Middle name

Last Name *

Please Enter Last Name

Phone *

Please Enter Phone

Email *

Please Enter Email

Gender *

Please Enter Gender

Date Of Birth *

Please Enter Date Of Birth

Religion

Please Enter Religion

Marital Status

Please Enter Marital Status

National ID Number

Please Enter National ID

Passport No

Please Enter Passport No

Next of Kin Information

Next of Kin Name *

Please Enter Next of Kin Name

Relationship *

Next of Kin Phone

Please Enter Next of Kin Phone

Who Pays Your Fee?

Name *

Please Enter Name

Relationship *

Phone

Please Enter Phone

Academic Information

Highest Education Level *

Please Enter Application Type

Select Grade in K.C.S.E *

Please Enter KCSE Grade

Select Course you want to enroll*

Please Enter Course

Course Level *

Please Enter Level

Educational Info

Primary School

School name *

Please Enter O Level School

Marks Scored*

Please Enter Marks Score

Graduation Year *

Please Enter Graduation Year

Grade *

Please Enter Grade

Secondary School

School name *

Please Enter School name

Marks Score *

Please Enter Marks Score

Graduation Year *

Please Enter Graduation Year

Grade *

Please Enter Grade

Documents

Passport Photo (Optional): Best Resolution Height- 300 PX, Width- 300 PX *

Please Enter Photo

Payment

Registration Fee Payment

To complete your application, please pay a registration fee of Ksh 1,000 using MPESA Paybill.

Paybill Number: 222111

Account Number: Topmax#

Amount: Ksh 1,000

After making payment, click Finish to submit your application.