KSU 6

ACADEMIC YEAR: 2023/2024

KISII UNIVERSITY
P.O BOX P.0.BOX 408 40200 KISII-KENYA
REGISTRATION FOR FIRST YEAR STUDENTS
(IMPORTANT NOTICE: All Sections of this Form MUST be completed)
ADMISSIONS DESK: VERIFICATION OF STUDENT’S ADMISSION DOCUMENTS (Original
Copies)
Documents TICK Name

Name of student (As appearing in letter of offer) MOGOI NEWTON BASWETI

(Surname) First Name Middle Name

Admision No. ED11/00841/23 Index No./Cert. No. 40727101165/2022

Nationality kenyan National ID

District Kisii P.O BOX 408

Tel No. 0742090708 Town Kisii

Student's Signature ......................... Date Sep 04,2023

Officer’s Name Mr. Josek Oenga Date Sep 04 2023 12:44 PM

MEDICAL DESK: MEDICAL EXAMINATION & REPORTS ( INCLUDING
FORM KSU7& 8JAB STUDENTS ONLY) REMARKS
Date Sep 04
Officer’s Name medical
2023 12:30 PM
FINANCE DESK
Officer’s Name Date Sep 04 2023 12:18 PM
NOMINAL ROLL DESK
Officer’s Name Mr. Josek Oenga Date Sep 04 2023 12:44 PM

IMPORTANT NOTE: To be considered, a student MUST sign the Nominal Roll. You Must Surrender
Signed Declaration Forms For Rules & Regulations For Undergraduate Programmes, And Student Code Of Conduct
And Discipline Respectively Before Signing The Nominal Roll