EMT September 2024 Intake

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Preferred Course *

Surname *

Other Names *

Email *

Phone number *

Date of Birth *

YYYY

ID Number *

Or birth certificate number

Gender

Secondary School Attended *

KCSE Grade Attained *

Biology Subject Score *

English Subject Score *

Kiswahili Subject Score *

Year of KCSE Examination *

Any Other College Attended

Level

Graduation Year

Preferred Intake *

Preferred Training Center *

Accept Terms and Conditions *

By sending application, you 1. Fully declare and confirm that the information given in this application form is true and correct to the best of my knowledge and you have not willfully suppressed any material facts. 2. You agree that you shall abide by all course rules and regulations. 3. Agree that St John Ambulance is not responsible for any personal injury or loss/damage of property arising from your participation in this course. 4. Give permission for St John Ambulance to use your name, and photograph in news releases related to this training and in its publications including its website.

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