National Government Constituencies Development Fund
SOUTH MUGIRANGO Constituency
P. O BOX
KISII
Tel:............................| Cell: 0725912723
Email:ngcdfmugirango@[Link]|Website:[Link]
NG-CDF SOUTH MUGIRANGO
BURSARY APPLICATION FORM SN. 42122385
Names WILFRED OKIAMBA
Gender M
PWD? N
ID/Birth/PP No. 42122385
Institution KISII UNIVERSITY
Admission No. AS20/00144/23
Year of study 3
Semester 1
Course Duration 4
Mobile Number +254757420757
Email ID Wilfreokiamba77@[Link]
Ward TABAKA
Location S.M CHACHE
Sub Location BOMWARE/BOTA
Village
Level of Study POSTGRADUATE
Mode of Study FULL TIME
Family BOTH PARENTS ALIVE
Income (Father) NOT APPLICABLE
Income (Mother) NOT APPLICABLE
Date of Application 2025-12-14 15:39:52
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 (S.M CHACHE LOCATION ) WILFRED OKIAMBA
I, Chief (S.M CHACHE location ), do ascertain I, WILFRED OKIAMBA , 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