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THE TECHNICAL UNIVERSITY OF KENYA

Haile Selassie Avenue, P.O. Box 52428, Nairobi, 00200, Tel +254(020) 343672, 2249974, 2251300, 341639

Fax 2219689, Email: vc@tukenya.ac.ke, Website: www.tukenya.ac.ke

REGISTRATION FORM (STUDENT COPY)


Course Name: Bachelor of Engineering (Civil Engineering) Class Code: EICQ/2020

Student Name: Mr SAMUEL MWANGI RUKWARO Reg. Number: EICQ/00154/2020

SECTION 1 - PERSONAL SECTION 4 - HOME/PERMANENT SECTION 7 - PASSPORT PHOTO


DETAILS ADDRESS
Birth Date: 05/09/2001 Personal Postal Address:

Gender: Male 1391 217 limuru

ID Number: 39028716 Mobile: 769623443


SECTION 8 - FIRST TERM FEES
County: Kiambu Email: lixusmwangi15@gmail.com Fee item Amount
SECTION 2 - COURSE SECTION 5 - CURRENT ADDRESS Grand Total: KES 0.00
CALENDAR Applies if different from Home Address
Semester and Year of Personal Current Address:
Admission:
Current Mobile:
Expected Completion Date:
Current Email:
SECTION 3 - SECTION 6 - NEXT OF KIN
EMPLOYMENT/SPONSOR Relationship: Mother
Employer Name:
Full Names:
.
Esther Wangari Rukwaro
Position:
Postal Address:
.

Employer Contacts: Mobile: 0711311116

.|. Email: erukwaro@gmail.com

VERIFICATION OF DOCUMENTS
I AGREE TO ABIDE BY THE RULES AND
Documents checked by: REGULATIONS OF THE TECHNICAL UNIVERSITY
OF KENYA
Margaret Wangui Ndongo

Date Admitted: 08/10/2020 Student's Signature:..............................


Date printed: October 10, 2020, 10:17 am

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