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Universities Fund

Hazina Trade Centre, 5th Floor, Monrovia


Street (Former Nakumatt Lifestyle Building)
P O Box 28237-00100, NAIROBI, KENYA
Telephone: +254 746 737935
Email: info@ufb.go.ke
twitter.com/UFKenya
facebook.com/UFKenya

Student No. (Do not write in this box) UNIVERSITY FUND - SCHOLARSHIP
Student ID. APPLICATION FORM
202243720111130
2023/2024

Applicant
GABRIEL CYNTIAH NYACHIGI
Name:

Institution: RONGO UNIVERSITY COLLEGE

Bachelor Of
Admission Public Govt Admission/Registration
Course: Education EDS/476/2023
Category: Sponsored No:
(science)

Telephone
254701424536 Email Address: cyntiahnyachigi@yahoo.com
Number:

If Single Parent is
deceased provide PWD: NO
Death Certificate
Single No. or Burial Family has NO
Parents: Parent Permit No. and PWD:
Deceased attach copy
Certificate #:
161202997
Sponsored in
secondary Sponsor's name:
school:

CONSENT FOR GOVERNMENT SCHOLARSHIPS FOR UNIVERSITIES


1. Pursuant to the Data Protection Act, The Universities Fund (UF) in its capacity as a data controller and/or processor under the Act, requests your explicit, affirmative, and
informed consent before it can collect or process your personal data.
2. “Personal data” means any information relating to an identified or identifiable natural person (a “data subject”). An identifiable natural person is one who can be identified,
directly or indirectly, by reference to an identifier such as a name, an identification number, location data, an online identifier or to one or more factors specific to the physical,
physiological, genetic, mental, economic, cultural, or social identity of that natural person.
3. The categories of personal data you are being asked to consent to the UF’s collection and use are your name, Identity Card Number, KRA Pin number, Passport Photo, Postal
Address, Email Address, Telephone Number, Date of Birth, Birth Certificate Number, Gender, Marital Status, Disability Status, KCSE Index number, KCSE Year, Current place
residence, Institutional Details, Education Background (Post-primary schooling), Parents / Guardian / Sponsor / Public trustee details, Guarantors details. More details are
described in the Privacy Notice.
4. Any personal data that is collected from you will be for the sole purpose of:
a. Application for the university’s Government Scholarship.
b. Appraisal for Government Scholarship
c. Communication with the institutions of higher learning.
d. Communicating UF’s activities and accomplishments.
e. Communicating to the applicants, parents and guardians regarding Government scholarships.
f. External Resource Mobilization for future funding or scholarship.
g. Any other lawful activity in line with funding students.
5. This also includes processing the personal data as required to execute contractual obligations in connection with the purposes described in clause 4 above and in compliance
with applicable laws, to execute the obligations to you concerning your scholarship application. 6. UF may process personal data without the data subject's consent under the
exceptions on a lawful basis.
7. UF in exercising its mandate shall share your personal data with (public and private) third-party entities for the purposes mentioned above. These third parties are contractually
obligated to keep your personal data confidential subject to appropriate safeguards to prevent unauthorized disclosure. These third parties include and are not limited to:
a. Law enforcement agencies and regulatory authorities.
b. Publicly available and/or restricted government databases such as The Kenya University and Colleges Placement Service (KUCPPS), The Universities Fund (UF), Kenya
Revenue Authority (KRA), Office of the Auditor General (OAG), National Social Security Fund (NSSF), National Health Insurance Fund (NHIF) and Integrated Population
Registration System (IPRS), National Transport and Safety Authority (NTSA), Kenya National Examination Board (KNEC), Telcos (Safaricom, Airtel), National Council For Persons
With Disabilities (NCPWD), State Department For Basic Education (SDBE), Kenya National Bureau of Statistics (KNBS), State Department for Social Protection and Senior
Citizens Affairs, National Employment Authority (NEA)and Kenya National Examinations Council (KNEC).
c. Resource mobilization partners such as government bodies and private funders.
d. Public utility Companies such as Kenya Power Lighting Company, Water services companies.
e. Public Placement and Examination bodies such as Kenya University and Colleges Placement Service (KUCPPS) and Kenya National Examinations Board.
f. Higher Education Loans Board (HELB).

202243720111130 27-08-2023 page 1 of 2


g. Higher Learning Institutions such as Universities and Colleges.
h. Telecommunications Companies.
i. Financial Institutions.
8. UF may transfer your personal data outside the boundaries of Kenya, for the purpose of Resource Mobilization. Such transfer shall be done in accordance with the requirements
of the Data Protection Act.
9. Parental Data collected from you will be for the sole purpose of:
a. Supporting applications for Government Scholarships.
b. Appraisal for bursary, and scholarship
c. Disbursement of Government Scholarship.
10. Your personal data is a key enabler, without the data, UF cannot discharge its legal mandate of financing higher education.
11. Your personal data will be stored in accordance with the record retention requirements applicable to UF as a public entity, and any other applicable Kenyan laws.
12. Subject to the exemptions specified in the Privacy Statement, under the Data Protection Act and your contractual obligations, you have the right to request access to, rectify,
erase, and restrict the processing of your personal data. You also have the right to revoke this consent to use your personal data. Without affecting the legal obligations of UF.
13. If you feel UF has violated the Data Protection Act, you have the right to file a complaint with UF’s Data Protection Officer. These rights are more specifically described in the
Privacy Notice.
14. UF reserves the right to amend or modify this consent form at any time without jeopardizing your rights. Any amendment or modification to the form shall remain effective
from the date of notification.
For more information kindly refer to the privacy notice on www.helb.co.ke/privacystatement

Kindly note that all the information provided in the application form is binding. However, you shall only print part of it.

Applicant's Digital Signature.

For Official Use only

Authorized Signature (UF) Date: 27/08/2023

Attachments uploaded

Below are the various supporting documents requested as attachments for your scholarship application.

202243720111130 27-08-2023 page 2 of 2


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