Student Registration Form Thank you for choosing GLUK. We will respond to you shortly.Great Lakes University of Kisumu is a Center of Excellence..!!!For More Information, Please call 0736550505. 11https://www.gluk.ac.ke/wp-content/plugins/nex-formsmessagehttps://www.gluk.ac.ke/wp-admin/admin-ajax.phphttps://www.gluk.ac.ke/student-registration-formyes1fadeInfadeOut Student Online Application FormPersonal Details*Surname*Other NamesDate of Birth*Email Address*Your Phone Number *Course Applying For:--- Select ---PhD in Community Health and DevelopmentPhD in Public HealthPhD in Business AdministrationPhD in Agribusiness ManagementMaster of Community Health and Development (MCHD)Master of Science (MSc.) in NursingMaster of Science (MSc.) in Clinical MedicineMaster of Public Health (MPH)Master of Science (MSc.) in Community NutritionMaster of Theology (M.Th.)Master of Business Administration (MBA)Master of Science (MSc.) in Agribusiness ManagementMaster of Arts (MA.) in Counseling PsychologyBachelor of Science in NursingBachelor of Science (BSc.) in Community Health & DevelopmentBachelor of Science (BSc.) in Community Nutrition Bachelor of Science (BSc.) in Environmental HealthBachelor of Science (BSc.) in Public HealthBachelor of Science (BSc.) in Clinical Medicine & Community HealthBachelor of Science (BSc.) in Physiotherapy & Rehabilitation MedicineBachelor of Education (B.Ed. Arts)Bachelor of Arts in Counseling PsychologyBachelor of TheologyBachelor of Arts in Business AdministrationBachelor of Science in Information TechnologyBachelor of Science in Agribusiness ManagementBachelor of Science in Hospitality & TourismDiploma in Community Health & DevelopmentDiploma in Community NutritionDiploma in Hospitality & TourismDiploma in Information TechnologyDiploma in Agribusiness ManagementDiploma in Clinical Medicine & Community HealthDiploma in Education (ECD)Diploma in Education (PRIMARY EDUCATION)Diploma in Education (SECONDARY EDUCATION)Diploma in Business AdministrationDiploma in Food & Beverage Production, Sales & Service Management (KNEC)Diploma in Catering & Accommodation (KNEC)Diploma in House Keeping & Laundry (KNEC)Diploma in Tourism Management (KNEC)Diploma in Tour Guiding & Operations Management (KNEC)Diploma in Sales & Marketing (Module i, ii, iii,) (KNEC)Diploma in Human Resource Management (Module i, ii, iii,) (KNEC)Diploma in Accountancy (KNEC)Diploma in Co-operative Management (KNEC)Diploma in Supply Chain Management (KNEC)Diploma in Entrepreneurship Development (KNEC)Certified Public Accountants (CPA) (KASNEB)Accounting Technician Diploma (ATD) (KASNEB)Certificate in EntrepreneurshipCertificate in Community Health and Development(For Community Health Personnel)Certificate in Community NutritionCertificate in Counseling PsychologyCertificate in TheologyCertificate in Business AdministrationCertificate in Information TechnologyCertificate in Agribusiness ManagementCertificate in Tourism and HospitalityCertificate in Food & Beverage Production, Sales & Service Management (KNEC)Certificate in Catering & Accommodation (KNEC)Certificate in House Keeping & Laundry (KNEC)Certificate in Tour Guiding & Operations Management (KNEC)Certificate In Project Management (KNEC)Certificate in Information Studies (Module I & II) (KNEC)Certificate in Business Management (Module I & II) (KNEC)Certificate in Supply Chain Management (Module I & II) (KNEC)Certificate in Human Resource Management (Module I & II) (KNEC)HIV/AIDS Testing & Counseling (NASCOP)*Date of Application:Student's Index Number / National I.D NumberCounty of Residence:--- Select ---Baringo CountyBomet CountyBungoma CountyBusia CountyElgeyo Marakwet CountyEmbu CountyGarissa CountyHoma Bay CountyIsiolo CountyKajiado CountyKakamega CountyKericho CountyKiambu CountyKilifi CountyKirinyaga CountyKisii CountyKisumu CountyKitui CountyKwale CountyLaikipia CountyLamu CountyMachakos CountyMakueni CountyMandera CountyMeru CountyMigori CountyMarsabit CountyMombasa CountyMuranga CountyNairobi CountyNakuru CountyNandi CountyNarok CountyNyamira CountyNyandarua CountyNyeri CountySamburu CountySiaya CountyTaita Taveta CountyTana River CountyTharaka Nithi CountyTrans Nzoia CountyTurkana CountyUasin Gishu CountyVihiga CountyWajir CountyWest Pokot CountyCountry--- Select --- Afghanistan Akrotiri Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Coral Sea Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Dhekelia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jersey Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank Western Sahara Yemen Zambia ZimbabweMarital StatusSingleMarriedDivorcedReligion (e.g. Chistian, Muslim, Hindu, e.t.c)Alternative Phone No in case of EmergencyPrefered Mode of StudyMode of Study:Full-TimePart-TimeOnline (ODeL)KUCCPSSchool-BasedEducation BackgroundHigh School Attended*Mean Grade Attained--- Select ---AA-B+BB-C+CC-D+DD-EMathematics--- Select ---AA-B+BB-C+CC-D+DD-EEnglish--- Select ---AA-B+BB-C+CC-D+DD-EKiswahili--- Select ---AA-B+BB-C+CC-D+DD-EPhysics--- Select ---AA-B+BB-C+CC-D+DD-EChemistry--- Select ---AA-B+BB-C+CC-D+DD-EBiology--- Select ---AA-B+BB-C+CC-D+DD-EGeography--- Select ---AA-B+BB-C+CC-D+DD-EHistory--- Select ---AA-B+BB-C+CC-D+DD-EAgriculture--- Select ---AA-B+BB-C+CC-D+DD-EReligion--- Select ---AA-B+BB-C+CC-D+DD-EBusiness--- Select ---AA-B+BB-C+CC-D+DD-EOther--- Select ---AA-B+BB-C+CC-D+DD-EOther Subject/Qualifications (Please Indicate Subject/Qualification and the Grades)Payment Evidence (Bank Slip/MPESA) doc docx mpg mpeg mp3 mp4 odt odp ods pdf ppt pptx txt xls xlsx Academic Certificates (Uploads) doc docx mpg mpeg mp3 mp4 odt odp ods pdf ppt pptx txt xls xlsx jpg jpeg png psd tif tiff Extra-Curricular EngagementsExtra-Curricular PaticipationStudent CouncilClass OfficerClub/OrganizationVarsity PlayerN/ABrief description of Hobbies, Activities, Academic and Other Interests ReviewsHow did you hear about us? How do you rate our Website? Payment DetailsBANK DETAILS: Account Name : Great Lakes University of Kisumu, Bank Name: N C B A, Account Number: 4 6 6 2 9 0 0 0 1 9, & for MPESA PAYMENTS: Go to Lipa Na MPESA – PAYBILL Option and Under BUSINESS NUMBER ( Enter Paybill No. 880100) Enter Account Number 4 6 6 2 9 0 0 0 1 9, Enter AMOUNT, your PIN and SEND. You will receive a Notification from NCBA Bank that you will use as a Proof of any payment made to the Institution.The Rates are as Follows: Application Fee for International Students is USD 25, and Registration/Admission Fee is USD 25. As for the Local Students, Application Fee is Ksh. 1000 (Certificate, Diploma and Degree) and Ksh. 2000 (Postgraduate, masters and Phd). For more Enquiries, call +254 736 550 505. Submit Application
