National Government Constituencies Development Fund

BORABU Constituency
P.o Box 11-40502
NYANSIONGO
Tel:............................| Cell: 0714836279
Email:borabu@ngcdf.go.ke|Website:www.borabu.ngcdf.go.ke
NG-CDF BORABU

BURSARY APPLICATION FORM SN. 39429559

Names BOAZ AMIMA ONJOMO

Gender M

PWD? N

ID/Birth/PP No. 39429559

Institution CHUKA UNIVERSITY

Admission No. AB1/53147/21

Year of study 3

Semester 2

Course Duration 4

Mobile Number +254115410459

Email ID boazamima91@gmail.com

Ward ESISE

Location EKERUBO LOCATION

Sub Location MEMISI

Village GETA VILLAGE

Level of Study UNDERGRADUATE

Mode of Study FULL TIME

Family BOTH PARENTS ALIVE

Income (Father) EARNS LESS THAN KSHS. 50,000 A MONTH

Income (Mother) NO SPECIFIC SOURCE OF INCOME

Date of Application 2024-01-06 13:35:11

Note: This form should be presented IN PERSON during the annual university/ college students meeting. You will be required to sign

and produce this form togther with a copy of 1). Your id card or birth certificate 2) Your student ID or admission letter. The attachments

are required for our verificatons to filter ghost applicants. Failure to attach the said copies will lead to automatic disqualification

STAMP......................... SIGN..........................

CHIEF (EKERUBO LOCATION LOCATION ) BOAZ AMIMA ONJOMO

I, Chief (EKERUBO LOCATION location ), do I, BOAZ AMIMA ONJOMO , declare that the

ascertain that the above information is true to above information is true to the best of my

the best of my knowledge knowledge