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,'--KENYA"MEDrCALTRAINING COLLEGE-TRANSCRiPT -REQUES=r-'FO'RM--';

(Revised August, 2020)

: DATE: : .

! Student Name: .

i College Number: ..

Course! Program i.e Higher Diploma! Diploma/ Certificate in


. .
....................................... ~ " .
.:.Campus Name: : .

: Training Commencement Month and Year: : ~ ; ..

: Training Completion Month-and Year: ' ..


I

I.Graduation Month and YeCir..:.·:·; , ,

Signature: : .
..
: Phone Number: , (To be contacted when transcript is ready)

! PROCESSING FE.E .

. Kindly note that there is processing fee of Ksh 1.000 per transcript .
.J'

KMTC IS ISO 9001:2015 Certifie'ti

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