BONDO TECHNICAL TRAINING INSTITUTE

Tel. [+254] 057-204 1555

Email: bondotti@yahoo.com
Website: bondotti.ac.ke
P.O. Box 377 – 40601, Bondo - Kenya

APPLICATION FORM REF: BTTI/ADM/F1

(FILL IN BLOCK LETTERS)

1. Applicant’s Name (As in Certificates): ……………………………………………… ID No……………....

2. E-mail: …………………....…………………………….…………… Mobile No. …………..............

3. Date of Birth: Gender: ……………………………

Day Month Year
4. County of Residence: ……………………………………Sub-County ……………………………...

5. Parent/Guardian’s Name: …………………………………………Contact ………………………….

6. Postal Address: ………………… Postal Code: ………………………. Town ……….………………

7. Name of the Course Applied for: ………………………………………………………………………

8. Intake (Jan/May/Sept) ………………………… Level (Diploma/Craft/Artisan) ………………………....

9. Who pays School fees/Sponsor ………………………………………………………………………………

10. Declaration of Educational Qualifications (Most recent first):

School Code/Index Number Year Level/ Certificate School/ Institution Grade/ Score

I________________________________________________________________ hereby declare that all the

information declared on this application form are true and complete to the best of my knowledge
and belief. I understand that action can be taken against me by the Institution.

Date: ……………………………………………. Signature of candidate …………………………

OFFICIAL USE ONLY

Received On ___________________ Signature ___________________

Registry Clerk
Status of Application: Approved

Remarks (if Unapproved) ……………………………………………………………………………………….

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

Date Processed ___________________________ Signature ___________________________

Registrar

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