Application Form - TECH Kenya

Enrollment form

Name

Surname 1

Surname 2

E-mail

Telephone

National ID Card

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Payment Modes and Methods

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Cash payment

Split payment

Deadlines

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Credit card

Account

Internship program Diabetes

Start: to choose

Cash price

KSh 981,500

Installment price

KSh 484,360 of tuition + 5 fees of KSh 145,510

Total amount

Initial payment

Installment fees