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Ps16 - 00004 - 25 Adrian Kamoche Mburu Admission Documents

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0% found this document useful (0 votes)
14 views9 pages

Ps16 - 00004 - 25 Adrian Kamoche Mburu Admission Documents

Uploaded by

zackmyles207
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

KISII UNIVERSITY

OFFICE OF THE ACADEMIC REGISTRAR


[Link] 408-
Phone: +254720875082
40200
Email: acregistrar@[Link]
KISII - KENYA

REG. NO: PS16/00004/25 20/08/2025

Mobile No.: 729674590


NAME: ADRIAN KAMOCHE MBURU
ADRESS:
EMAIL: PS160000425@[Link]

Dear ADRIAN KAMOCHE MBURU , PS16/00004/25


RE: ADMISSION INTO BACHELOR OF SCIENCE (FORENSIC BIOLOGY) - 2025/2026 ACADEMIC YEAR
Following your recent admission to Kisii University, I wish to congratulate you on this achievement. You
have been admitted on the basis of your qualifications, which are subject to verification by the University.
When reporting, you will be required to present original and copies of the following:
1. K.C.S.E Certificate or Result Slip
2. Birth Certificate
3. National Identity Card (or Passport)
4. Two coloured passport-size photographs
5. Proof of payment of tuition fees
TUITION FEES
You will pay KSh. 25,930.44 as tuition fees in a Semester. The tuition fees has been subsidized through a
Government scholarship and loan.

FEES PAYMENT

Pay tuition fees through the University admission portal by clicking on the provided link Pay school fees.

COMMENCEMENT DATE

The programme will commence on 21st August 2025. You are, therefore, expected to report and complete your
registration on this date.

OTHER IMPORTANT INFORMATION

Admission to the University does not guarantee accommodation in the Halls of Residence. Students not
allocated university accommodation will be required to make private arrangements.
This admission offer is subject to your adherence to the University’s Rules and Regulations.
In case of any queries, please contact the Admissions Office at 0720875082.

We look forward to welcoming you to Kisii University and supporting you on your academic journey.

Sincirely,

Prof. Kennedy Getange, PhD


Ag. REGISTRAR(AA)
Page 1 of 9
KSU 6
ACADEMIC YEAR: 2025/2026

Kisii University
P.O BOX [Link] 408 40200 KISII-KENYA
REGISTRATION FOR FIRST YEAR STUDENTS
(IMPORTANT NOTICE: All Sections of this Form MUST be completed)
ADMISSIONS DESK: VERIFICATION OF STUDENT’S ADMISSION DOCUMENTS (Original Copies)
Documents TICK Name

Original Letter of Offer/Admission Letter Available Reginah Maangi

KCSE Certificate or Results Slip Available Reginah Maangi

National ID/Birth Certificate/Passport Available Reginah Maangi

Name of student (As appearing in letter of offer) MBURU ADRIAN KAMOCHE

(Surname) First Name Middle Name

Admision No. PS16/00004/25 Index No./Cert. No. 27538208146/2024

Nationality kenyan National ID 352947103

District Gilgil P.O BOX 100

Tel No. 729674590 Town Gilgil

Student's Signature ......................... Date Aug 20,2025

Officer’s Name Reginah Maangi Date Jul 21 2025 09:57 AM


MEDICAL DESK: MEDICAL EXAMINATION & REPORTS ( INCLUDING
FORM KSU7& 8JAB STUDENTS ONLY) REMARKS
Date Jul 31 2025
Officer’s Name Medical Services
13:30 PM
FINANCE DESK
Officer’s Name Date Jul 20 2025 20:15 PM
NOMINAL ROLL DESK
Officer’s Name Reginah Maangi Date Jul 21 2025 09:54 AM

IMPORTANT NOTE: To be considered, a student MUST sign the Nominal Roll. You Must Surrender Signed
Declaration Forms For Rules & Regulations For Undergraduate Programmes, And Student Code Of Conduct And Discipline
Respectively Before Signing The Nominal Roll

Page 2 of 9
KSU 2

Kisii University
Tel:0720875082 Address : [Link] 408 40200 KISII-KENYA
Fax : Email: acregistrar@[Link]

LETTER OF ACCEPTANCE, DEFERMENT, OR REJECTION OF OFFER OF ADMISSION BY THE


CANDIDATE

(A) LETTER OF ACCEPTANCE

The Registrar (Academic Affairs)

Dear Sir/Madam,

With reference to your letter offering me a place in SCHOOL OF PURE AND APPLIED SCIENCE For a
course leading to a BIOLOGICAL SCIENCES of BACHELOR OF SCIENCE (FORENSIC BIOLOGY)

I accept the offer and UNDERTAKE TO ABIDE by the "Regulations Governing the Association, Conduct and
Discipline of the students of "KISII UNIVERSITY", made under Section 13(1)(e) of the KISII
UNIVERSITY ACT, 2013 which i have read and understood

a) Candidates Name ADRIAN KAMOCHE MBURU


First Last/Surname

Admission No. PS16/00004/25 ID/KSCE Index No. 27538208146/2024

Contact Address 100 Phone. 729674590

Signature. ADRIAN MBURU Date. Aug 20 2025

FOR OFFICIAL USE ONLY

Officer Name. Reginah Maangi

Signature.

Date. Jul 21 2025 09:54 AM

Page 3 of 9
Fix passport
KSU 4

Kisii University
Phone: 0720875082 [Link] 408-40200

Email: acregistrar@[Link] KISII-KENYA

STUDENT’S PERSONAL DETAILS


Information provided in this form is essential in establishing a complete record of the student in the Registrar
Academic Affairs Office.

1a) Candidates Name ADRIAN KAMOCHE MBURU


First Last/Surname

2. National ID: 352947103

Reg No: Year of Study: Course of Study: BACHELOR OF SCIENCE (FORENSIC


3.
PS16/00004/25 2025/2026 BIOLOGY)

4. Date of Birth: 21/Novermber/2005 Citizenship: kenyan Religion: christian

5. Permanent Address: 20016 Current Address: Gilgil town Tribe: Kikuyu 140

Email:
Cell/Mobile: 729674590 County: Nakuru
PS160000425@[Link]

6. (a) Marital Status: single

Spouse Phone/Mobile
Spouse Name: N/A Spouse Address: N/A
No: N/A

Full Name of Mother: MARY


7. Deceased/Alive: Alive
WANJIRU MUIRURI

8. Full Name of Father: Paul Mburu Deceased/Alive: Alive

Full Name of Guardian (if neither 7 nor


9.
8): N/A

Occupation of mother: Small scale


10. (a) Occupation of father: N/A
farmer

(b) Occupation of guardian(If both


Guardian Telephone: N/A
parents are deceased): N/A

Page 4 of 9
11. Names of brother (s) and sister(s) and addresses

Name Relationship Addresss Telephone

Angel Muthoni Sister

FOR OFFICIAL USE ONLY

Officer Name. Reginah Maangi

Signature.

Date. Jul 21 2025 09:54 AM

Page 5 of 9
KSU7

Kisii University
Telephone: 0720875082 P.O. Box: [Link] 408 40200 KISII-KENYA

Fax: Email: Kisii University


MEDICAL REPORT FORM
IMPORTANT:

1. Students are requested to complete part I of this form. Part II should be completed by the Medical Officer
examining the student. The complete Form should then be submitted to the Chief Medical Officer/ Medical
Officer in your respective campuses on the registration day.

2. Please Note that any medical services that the student may require outside the University’s medical
departments is direct responsibility of the parent / Guardian

PART I
a) Candidates Name ADRIAN KAMOCHE
First Last/Surname

Admission/Reg. No: PS16/00004/25 ID No./KCSE Index No 27538208146/2024

Signature: ..................... Date: 2025-07-16 [Link]

Name of Parent / Guardian/ Next of Kin: MARY WANJIRU MUIRURI

Contact Address: 20016 Phone : 0717201862

Signature: Date: Jul 16 2025

b) Have you ever been admitted to hospital?Yes/No NO


if so, state the reason for admission and date ………………………………

c) Have you had any of the following illnesses?


Tuberculosis or other chest infection NO
Fits, nervous disease or fainting attacks NO
Heart disease or rheumatic fever NO
Allergies to food or drugs NO
Diabetes mellitus NO
Mental illness NO
Asthma NO
If any of the above is yes, please give details and
……………………………….........................................
dates
Page 6 of 9
d) If there are any relevant details of your medical
history not covered by the above questions, please ………………………………
give particulars
Date Jul 16 2025 Signature

PART II
(To be completed by the Examining officer)

(a) Vision:Normal 6/6 (b) Hearing:Normal

(c) Circulatory System


Pulse: 67B/min Blood Pressure: 121/70 Systolic: 121 Heart: Normal no defects
(d) Chest exam (x-ray if necessary):N/A
(e) Is the student on any treatment:NO If so, give details:N/A
(f) Any observations of importance?:Fit to join your institution
Name of examining doctor:Mwangi Isaac
Examining officer Signature: Examining officer Stamp:
................................................. .................................................
PART III
(To be completed by Kisii University Medical Officer)

Officer Name: Medical Services

Is the student fair for university education? Yes


Signature Date Jul 31,2025

Official stamp

Page 7 of 9
KSU8

Kisii University
Telephone: 0720875082 P.O. Box: [Link] 408 40200 KISII-KENYA

Fax: Email: acregistrar@[Link]


EMERGENCY OPERATIONS
PART I
a) Candidates Name ADRIAN KAMOCHE MBURU
First Second Last/Surname

Admission/Reg. No: PS16/00004/25 National ID 352947103

Course Admitted: BACHELOR OF SCIENCE (FORENSIC BIOLOGY)


Faculty: SCHOOL OF PURE AND APPLIED SCIENCE

This applies to the students who are minors (i.e. persons under 21 years of age).

Approval of your parents (or guardians) is required for the Medical Officer of Kisii University to give consent
on their behalf, for an emergency operation to be carried out on you should a situation calling for an operation
arise. Parents (or guardians) are therefore required to complete the consent form below if you are under 21 years
of age.

FORM OF CONSENT

I Agree that the chief medical officer of Kisii University may consent an emergency operation being performed
on: ADRIAN MBURU
If it is not possible to contact me on time.

Name of Parent / Guardian/ Next of Kin MARY WANJIRU MUIRURI

Contact Address: 20016 Phone : 0717201862

Relationship:: Mother

Signature: Date: Jul 16 2025

For More Information Contact:


Kisii University
[Link] 408 40200 KISII-KENYA
Tel: 0720875082
E-mail: acregistrar@[Link]. Website: [Link]

Page 8 of 9
REF: KSU/SA/132

Kisii University
OFFICE OF THE DEAN OF STUDENTS
NEWLY ADMITTED STUDENT REGISTRATION FORM
PART A:
STUDENTS PERSONAL INFORMATION

ADRIAN KAMOCHE MBURU PS16/00004/25

PART C:
STUDENTS DECLARATION AND BOND OF CONDUCT

Declare that I have read the regulations governing the assocciation conducts and discipline of students at KISII
UNIVERSITY as outline in the students handbook; and understand their content and meaning and here by
undertake to abide by them.

Whereof, I also hereby bond my to be of good conduct and to abide by all university rules and regulations as
contained in the students' handbook and other policy documents.

Failure to adhere to the above, the Kisii university reserves the right to institute disciplinary action against lme
in accordance with its institutional procedures.

Signature ..................... Date Jul 19 2025

FOR OFFICIAL USE


Witness

Signed

RUBBER STAMP/DATE

Page 9 of 9

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