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Caleb

The document is a bursary application form for Caleb Mose Nyachienga, a third-year undergraduate student at Moi University. It includes personal details, contact information, and family income status, along with instructions for submission and verification. The application must be presented in person with required documentation to avoid disqualification.

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Cosmas Onsombi
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4 views1 page

Caleb

The document is a bursary application form for Caleb Mose Nyachienga, a third-year undergraduate student at Moi University. It includes personal details, contact information, and family income status, along with instructions for submission and verification. The application must be presented in person with required documentation to avoid disqualification.

Uploaded by

Cosmas Onsombi
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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. 41768801

Names CALEB MOSE NYACHIENGA

Gender M

PWD? N

ID/Birth/PP No. 41768801

Institution MOI UNIVERSITY

Admission No. BAE/1749/24

Year of study 3

Semester 2

Course Duration 4

Mobile Number +254754440594

Email ID mosecaleb03@[Link]

Ward BOGETENGA

Location [Link]

Sub Location BOGETENGA

Village

Level of Study UNDERGRADUATE

Mode of Study FULL TIME

Family BOTH PARENTS ALIVE

Income (Father) NO SPECIFIC SOURCE OF INCOME

Income (Mother) NOT APPLICABLE

Date of Application 2025-12-23 20:59:56

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 ([Link] LOCATION ) CALEB MOSE NYACHIENGA

I, Chief ([Link] location ), do I, CALEB MOSE NYACHIENGA ,

ascertain that the above information is true to declare that the above information is true to

the best of my knowledge the best of my knowledge

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