Post Basic Application - North Coast Medical Training College

Application

Post Basic

North-Coast Medical Training College, Co-operative Bank – Mtwapa Branch (MPESA PAYBILL 400200 - Account No. 40093651)

NB: Applicants are required to pay a NON-REFUNDABLE application fee of Kshs. 1000 through the above mentioned payment method.

First Name *

Middle Name(s) *

Last Name *

Date of Birth *

Email Address *

Gender *

Telephone Number *

Postal Address

Town

Intake *

Select a course *

Scanned Copy of National ID *

Passport Photo *

Scanned Copy of the Diploma *

Scanned Copy of Current Practicing License *

Scanned Copy of Application Payment Slip *

How did you hear about the course?