KLC Online Application

Application form for admission to Basic Technician Certificate, Technician Certificate And Ordinary Dilpoma in Community Development Program
2026/2027 Academic Year

LEVEL OF STUDY YOU ARE APPLYING *

~~~APPLICANT'S PERSONAL DETAILS~~~

First Name *

Middle Name *

Last Name *

Date Of Birth *

Place of Birth (Region/District) *

Nationality *

Sex *

Merital Status *

Phone Number *

Postal Address

Place of Residence *

Ward *

District *

Region *

~~~APPLICANT'S NEXT OF KIN~~~

Full Name *

Relation *

Phone Number *

Postal Address

Place of residence Ward *

District *

Regions *

~~~ACADEMIC QUALIFICATIONS~~~

Primary School *

Year Of Completion *

District *

Regions *

O'LEVEL (Certificate of Secondary Education)

School Name *

Index Number *

Year of Completion *

Division *

Enter Your O'Level Four Passed Subjects (Eg: History-B)*

A'LEVEL (Advanced Certificate of Secondary Education)

School Name

Index Number

Year of Completion

Division

Enter Your A'Level Two Passed Subjects (Eg: History-B)

POST SECONDARY SCHOOL QUALIFICATIONS (NTA Level 4 ,5 and NVA Level 3)

Course Description

Institute/College Name

Year of Graduation

Registration Numner

(Incorrect information may lead to serious consequences as stated in the Joining Instructions, i.e. cases of impersonation of documents or forgery whenever discovered, either at registration or afterwards, will lead to automatic cancellation of admission or Award offered) *