KABLA YA KUOMBA NAFASI PITIA ***VIGEZO HIVI *** (NACTE) KISHA LIPIA TSH. 30,000/= YA MAOMBI YA KOZI ZA NACTE NA TSH. 5,000 KWA KOZI ZA VETA KWENYE MPESA NAMBA ***0742155623***. JINA   “KOLANDOTO COLLEGE OF HEALTH SCIENCES”. MPESA CODE ANDIKA SEHEMU INAYOTAKIWA. MUHIMU: HAKUNA MAOMBI YATAKAYOSHUGHULIKIWA KAMA HAKUNA MALIPO. 

NB:

1. KWA WAOMBAJI WOTE HAKIKISHA UMEAMBATANISHA CHETI CHA FORM FOUR
2. WANAOOMBA KOZI UPGRADING HAKIKISHA CHETI CHA LEVEL 5 NA TRANSCRIPT VIWE VIMESKANIWA KAMA DOCUMENT MOJA. CHETI CHA FORM FOUR KIWE ATTACHED SEPARATELY.

 

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*MPESA CODE

*First Name

Middle Name

*Last Name

*Sex

Male Female

*Nationality

*Date of Birth

*DISABILITY

*REGION

Arusha Dar es Salaam Dodoma Geita Iringa Kagera Katavi Kigoma Kilimanjaro Lindi Manyara Mara Mbeya Morogoro Mtwara Mwanza Njombe Pemba North Pemba South Pwani Rukwa Ruvuma Shinyanga Simiyu Singida Tabora Tanga Zanzibar North Zanzibar South and Central Zanzibar West

District of Domicile

Arumeru Arusha Babati Bagamoyo Bariadi Biharamulo Bukoba Rural Bukoba Urban Bukombe Bunda Chake Chunya Dodoma Rural Dodoma Urban Geita Hai Hanang Handeni Igunga Ilala Ileje Ilemela Iramba Iringa Rural Iringa Urban Kahama Karagwe Karatu Kaskazini 'A' Kaskazini 'B' Kasulu Kati Kibaha Kibondo Kigoma Rural Kigoma Urban Kilindi Kilolo Kilombero Kilosa Kilwa Kinondoni Kisarawe Kishapu Kiteto Kondoa Kongwa Korogwe Kusini Kwimba Kyela Lindi Rural Lindi Urban Liwale Ludewa Lushoto Mafia Magharibi Magu Makete Manyoni Masasi Maswa Mbarali Mbeya Rural Mbeya Urban Mbinga Mbozi Mbulu Meatu Micheweni Misungwi Mjini Mkoani Mkuranga Monduli Morogoro Rural Morogoro Urban Moshi Rural Moshi Urban Mpanda Mpwapwa Mtwara Rural Mtwara Urban Mufindi Muheza Muleba Musoma Rural Musoma Urban Mvomero Mwanga Nachingwea Namtumbo Newala Ngara Ngorongoro Njombe Nkasi Nyamagana Nzega Pangani Rombo Ruangwa Rufiji Rungwe Same Sengerema Serengeti Shinyanga Rural Shinyanga Urban Sikonge Simanjiro Singida Rural Singida Urban Songea Rural Songea Urban Sumbawanga Rural Sumbawanga Urban Tabora Urban Tandahimba Tanga Tarime Temeke Tunduru Ukerewe Ulanga Urambo Uyui Wete

*Primary School

*Mobile Phone Number

*Email

*Secondary School

*Form 4 Index Number

*Year of Completing Form 4

NTA 5 college name (UPGRADING STUDENT)

Year of completion (FOR UPGRADING STUDENTS ONLY)

Final Year Exam Number (FOR UPGRADING STUDENTS ONLY)

*Full Name of Parent

Parent Phone Number

Relations with Parent/Guardian

Father Mother Aunt Uncle Brother Sister

*Postal Address

*PHYSICS

*CHEMISTRY

*BIOLOGY

*MATHEMATICS

*ENGLISH

*KISWAHILI

*GEOGRAPHY

*HISTORY

*CIVICS

*First Choice

Diploma in Nursing Diploma in Medical Laboratory Upgrading Diploma in Medical Laboratory Diploma in Clinical Medicine Upgrading Diploma in Clinical Medicine Nursing In-service Diploma in Pharmaceutical Sciences Laboratory Assistant (VETA) Business Operations Assistant (VETA) Information and Communication Technology (VETA)

*Second Choice

Diploma in Nursing Diploma in Medical Laboratory Upgrading Diploma in Medical Laboratory Diploma in Clinical Medicine Upgrading Diploma in Clinical Medicine Nursing Inservice Diploma in Pharmaceutical Sciences Laboratory Assistant (VETA) Business Operations Assistant (VETA) Information and Communication Technology (VETA)

*FORM FOUR CERTIFICATE

LEVEL 5 CERT & TRANSCRIPT

Fields with (*) are compulsory.