KABU/MKT/F007
UN V
AK I E
R R
A S
KABARAK UNIVERSITY
Education in Biblical
B D E
IV
A E U
K
2000
1 PETER 3:15
Perspective
IT
Y
C T
A EC
O
TI N ERSP
IN BIBLICAL P
APPLICATION FORM
READ THE APPLICATION INSTRUCTIONS BEFORE COMPLETING THIS FORM COMPLETE ALL
APPROPRIATE SECTIONS IN CAPITAL/BLOCK LETTERS AND RETURN WITH YOUR NON-REFUNDABLE
APPLICATION FEE AND OTHER SUPPORTING DOCUMENTS TO:
The Admissions Office Kabarak University
Private Bag - 20157, KABARAK, Nakuru-Eldama Ravine Road
Tel: 020-2114658 / 0729-223370
Fax: 051-343012
Email: admissions@[Link]
[Link]/kabarakuniversity
@KabarakUniv
PLEASE FILL IN CAPITAL LETTERS
1. APPLICANT’S DETAILS
FULL NAMES LAVENTINE CECILIA ORUKO
(as per secondary school certificate or equivalent)
TITLE MR [ ] MRS [ ] MS [✔ ] GENDER: MALE [ ] FEMALE [✔ ] MARITAL STATUS: MARRIED [ ] SINGLE
[✔ ]
DATE OF BIRTH: 10TH APRIL NATIONALITY KENYAN NATIONAL ID / PASSPORT NO
2008
COUNTY BUSIA SUB-COUNTY NAMBALE MOBILE 0794487289
NO
P.O. BOX CODE 110 -50409 TOWN NAMBALE EMAIL
laventinececilia9@[Link]
2. PARENTS’ CONTACTS GUARDIAN CONTACTS (Tick where applicable)
FATHER’S HASSAN NURU ORUKO MOTHER’S LINET TERESA EGESA
NAME NAME:
MOBILE NO 0728237842 MOBILE NO. 0723471114
P.O. BOX CODE 110-50409 TOWN NAMBALE EMAIL linetegesa34@gmail
3. SPOUSE’S / NEXT OF KIN CONTACTS (Tick where applicable)
SPOUSE’S NAME NEXT OF KIN NAME
MOBILE P.O. BOX CODE TOWN EMAIL
NO
4. EDUCATIONAL BACKGROUND
INSTITUTION ATTENDED FROM (YEAR) TO (YEAR) CERTIFICATE AWARDED MEAN
GRADE
[Link] MODEL ACADEMY 2011 2021 KCPE CERTIFICATE A
ALLIANCE GIRLS HIGH 2022 2025 KCSE CERTIFICATE A-
5. EDUCATIONAL PLANS (tick appropriately)
1. DOCTORATE [ ] MASTERS [ ] BACHELORS DIPLOMA [ ] CERTIFICATE [ ]
PROGRAMME DEGREE [✔ ]
APPLIED FOR
2. PROGRAMME NAME BACHELOR OF PHARMACY Specialization
3. MODE OF STUDY REGULAR [✔ ] SCHOOL-BASED [ ] ONLINE [ ] WEEKENDS [ ] EVENING [ ]
4. PREFERRED INTAKE JANUARY [ ] APRIL [ ] MAY [ ] AUGUST [ ] SEPTEMBER [✔ ] DECEMBER [ ]
6. CAMPUS WHERE STUDY WILL BE UNDERTAKEN
MAIN CAMPUS [✔ ] TOWN CAMPUS [ ]
7. FINANCING OF STUDIES
Please Tick: SELF [ ] PARENTS/GUARDIANS [✔ ] GOVERNMENT/HELB [✔ ] OTHER SPONSORSHIP [ ]
8. RELIGION
Please Tick: CATHOLIC [✔ ] PROTESTANT [ ] MUSLIM [ ] HINDU [ ] OTHER [ ]
9. STATE WHETHER YOU HAVE ANY SPECIAL NEEDS THAT REQUIRE SPECIAL ATTENTION
Please Tick Yes [ ] No [✔ ]
If Yes, state the
need.......................................................................................................................................................................................................
10. TELL US HOW YOU LEARNT ABOUT KABARAK UNIVERSITY
RADIO [ ] TELEVISION [✔ ] NEWSPAPERS [ ] FRIENDS [ ] CAREER EXHIBITION [ ] OTHER (State) ......................
...............................................................................................................................................................................................................................
...... 1 Peter 3:15 | As members of Kabarak University family, we purpose at all times and in all places to set apart in one’s heart, Jesus
Christ as Lord.
11. AGREEMENT
As a University with Biblical Christian foundation, it is expected that students will strive for Biblical standards of personal
character, conduct and discipline in dealing with all people within and outside the University. In accordance with the University
Moral Code, the students should aim at all times in all places, to set apart in one’s heart Jesus Christ as Lord (1 Peter 3:15)
I hereby declare that I will abide by the rules and regulations of Kabarak University
Signature...........................𝓛𝓪𝓿𝓮𝓷𝓽𝓲𝓷𝓮 𝓒𝓮𝓬𝓲𝓵𝓲𝓪 𝓞𝓻𝓾𝓴𝓸 ............................................................ Date............13TH
AUGUST 2026..........................................................................
Parent/Guardian Signature................................. 𝓛𝓲𝓷𝓮𝓽 𝓔. 𝓣𝓮𝓻𝓮𝓼𝓪 ............................. Date.....................13TH
AUGUST 2026................................................................. Sign your application form before returning it to the nearest Kabarak
University Campus
12. REQUIREMENTS FOR ADMISSION
1. Duly filled and signed application form
2. Copies of certificates and all transcripts, Masters, Bachelors, Diplomas and Certificates.
3. Two (2)recent passport size photographs (write your name on reverse side)
4. Copy of national ID/Passport or Birth Certificate
5. Application fee deposit slip: Certificate - 500, Diploma Undergraduate - Ksh 1,000; Postgraduate -
Ksh 1,500 No cash payment*
ADDITIONAL REQUIREMENTS FOR INTERNATIONAL STUDENTS
1. An official translation of academic records (where language of study is not English)
2. A current financial guarantee letter
3. A completed immigration pass form (2 forms enclosed)
4. Academic document equation fee
5. A copy of Passport
Payment can also be made to Kabarak University through any of the following bank accounts:
• Standard Chartered Bank - 01040-943637-01 Nakuru;
• Trans National Bank - 0040503005 Nakuru;
• Kenya Commercial Bank - 1109663161 Nakuru;
• Equity Bank - 0310294445167 Nakuru Kenyatta Avenue
• MPesa Pay Bill A/c No. 511480 with the applicant’s name as the a/c name
REGISTRATION
Students are required to be registered for classes prior to the beginning of any semester. As a new student, you will be given
orientation on registration procedures during the registration/orientation period.
ONLY COMPLETE APPLICATION FORMS WILL BE PROCESSED. DEADLINES MUST BE OBSERVED.
FOR OFFICIAL USE ONLY
Date Application
received..........................................................................................................................................................................
Recommendation by the School
Accepted [ ]
Rejected [ ] Reason for rejection........................................................................................................................................................
Signed ............................................................................................................
Date................................................................................................. DEAN OF SCHOOL
Signed..............................................................................................................
Date................................................................................................. DIRECTOR, POSTGRADUATE STUDIES AND RESEARCH
.
................................................................... Official Stamp
Kabarak University RESERVES THE RIGHT OF ADMISSION
More information may be obrained from the Office of Registrar, Academic Affairs, Kabarak University
[Link]
1 Peter 3:15
As members of Kabarak University family, we purpose at all times and in all places to set apart in one’s heart, Jesus Christ as
Lord.