Applicant's Registration Form
Name of the School / Institution
County
Baringo
Bomet
Bungoma
Busia
Elgeyo/Marakwet
Embu
Garissa
Homa Bay
Isiolo
Kajiado
Kakamega
Kericho
Kiambu
Kilifi
Kirinyaga
Kisii
Kisumu
Kitui
Kwale
Laikipia
Lamu
Machakos
Makueni
Mandera
Marsabit
Meru
Migori
Mombasa
Murang'a
Nairobi
Nakuru
Nandi
Narok
Nyamira
Nyandarua
Nyeri
Samburu
Siaya
Taita/Taveta
Tana River
Tharaka-Nithi
Trans Nzoia
Turkana
Uasin Gishu
Vihiga
Wajir
West Pokot
Phone NUmber
Bank Name
Branch
Account Number
Email
Password
Confirm password
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