Blue West Medical Training College

Online Application Form

Personal Contact Next of Kin Course Academics Medical Sponsorship Documents Review

Step 1: Personal Data

Please provide your personal details exactly as they appear on your official documents.

First Name *

Surname *

Middle Name

Date of Birth *

Gender *

ID/Passport No. *

Nationality *

Country of Residence *

Marital Status *

Please Specify Marital Status

Religious Affiliation

Step 2: Contact Details

Provide your current contact information. We will use this to communicate with you about your application.

Postal Address *

Postal Code *

Town *

Mobile Number *

Home/Office Tel

Email Address *

Step 3: Next of Kin's Information

Please provide details for your parent, guardian, or next of kin whom we can contact in case of an emergency.

Full Name *

Relationship *

Postal Address

Mobile Number *

Email Address

Step 4: Course Selection & Fee Structure

Please select the course you are applying for and review the fee information.

Select Course *

Fee Structure

Please select a course to view the applicable fee.

Step 5: Academic Details

Provide your academic background.

K.C.S.E. Mean Grade *

K.C.S.E. Year *

Have you ever been discontinued from another institution? *

Yes No

If Yes, give name of institution and reason:

Intake Applied For *

Step 6: Medical History

This information is confidential and helps us provide necessary support during your studies.

1. Do you suffer from any medical condition that requires frequent medical attention? *

Yes No

2. Do you have any food allergy? *

Yes No

3. Do you have any drug allergy? *

Yes No

4. Do you suffer from any disability? *

Yes No

If Yes to any of the above, what support would you require at BWMTC?

Step 7: Financial Sponsorship

Indicate who will be responsible for your college fees.

Who will sponsor your education? *

Information About The Person Paying College Fees

Full Name

Relationship

Postal Address

Mobile Number

Email Address

Step 8: Document Upload

Upload clear copies of the required documents. Accepted formats: PDF, JPG, PNG.

National ID or Passport * Choose File No file chosen

Scan both sides of your National ID or Passport into one PDF file.

📄

K.C.S.E Certificate/Result Slip * Choose File No file chosen

Birth Certificate * Choose File No file chosen

Step 9: Review & Submit

Please review all your details carefully. You can use the 'Back' button to make changes.

Application Fee

A non-refundable application fee is required. Payment details will be sent to your email after your application has been reviewed and verified by our admissions team.

Application Submitted!

Thank you for completing your application. A PDF copy has been downloaded to your device, and your submission has been saved securely.

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