National Government Constituencies Development Fund

Mwala Constituency
P.o Box 858-0090100
MACHAKOS
Tel:............................| Cell: 0722 594 319
Email:ngcdfmwala@ngcdf.go.ke|Website:www.ngcdf.go.ke
NG-CDF Mwala

BURSARY APPLICATION FORM SN. 41434479

Names LUIS MWENDE KAMALA

Gender F

PWD? N

ID/Birth/PP No. 41434479

Institution BONDO TTC

Admission No. KP/DEE/5249/22S

Year of study 2

Semester 2

Course Duration 3

Mobile Number +254794006753

Email ID luismwende2022@gmail.com

Ward MBIUNI

Location KATHAMA

Sub Location ULAANI

Village ULAANI

Level of Study Diploma

Mode of Study FULL TIME

Family BOTH PARENTS ALIVE

Income (Father) NO SPECIFIC SOURCE OF INCOME

Income (Mother) NO SPECIFIC SOURCE OF INCOME

Date of Application 2023-11-17 11:11:44

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 (KATHAMA LOCATION ) LUIS MWENDE KAMALA

I, Chief (KATHAMA location ), do ascertain I, LUIS MWENDE KAMALA , declare that the

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

of my knowledge knowledge