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POST

<form method="post">
  <div class="row">
    <div class="col-md-6">
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>First Name:</label>
        <input type="text" name="fname" class="form-control" required="">
      </div>
      <div class="form-group">
        <label>Middle Name:</label>
        <input type="text" name="mname" class="form-control">
      </div>
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>Surame:</label>
        <input type="text" name="sname" class="form-control" require="">
      </div>
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>Phone Number:</label>
        <input type="text" name="phone" class="form-control" required="">
      </div>
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>Email:</label>
        <input type="email" name="email" class="form-control" required="">
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <label>
          <sup style="color:red; font-weight:bold">*</sup>Campus:</label>
        <select name="campus" class="form-control" required="">
          <option value="">---Select---</option>
          <option value="1246-85862-2023">BURUBURU CAMPUS</option>
          <option value="2218-99872-2022">KIAMBU CAMPUS</option>
          <option value="2425-18001-2019">THIKA CAMPUS</option>
          <option value="4248-50566-2022">KAHAWA FARMERS</option>
          <option value="4305-17535-2022">KITENGELA CAMPUS</option>
          <option value="7007-29396-2023">UKUNDA CAMPUS</option>
          <option value="7301-55455-2022">RONGAI CAMPUS</option>
          <option value="9557-26343-2019">NAIROBI CAMPUS</option>
        </select>
      </div>
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>Faculty:</label>
        <select name="faculty_code" id="faculty3" class="form-control" required="">
          <option value="">Select</option>
          <option value="7772-55012-2022">Advanced shortcourse in mental health (AD MH)</option>
          <option value="5859-31891-2022">Advanced Skills In Counselling (AD CO)</option>
          <option value="3920-20345-2019">School of Business, Accountancy and Languages (SOB)</option>
          <option value="5330-16567-2019">School of Counselling and Social Studies (SCS)</option>
          <option value="5015-40627-2019">School of ICT &amp; Technical Courses (ICT)</option>
        </select>
      </div>
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>Program:</label>
        <select name="program_code" class="form-control" id="program3" required="">
          <option value="">Select</option>
        </select>
      </div>
      <div class="form-group">
        <label><sup style="color:red; font-weight:bold">*</sup>Study Mode:</label>
        <select class="form-control" name="mode_of_study" id="mode_of_study3" required="">
          <option value="">select</option>
        </select>
      </div>
      <div class="form-group">
        <input type="submit" name="save" value="Submit Application" class="btn btn-success"> or <a href="reference_code.php">I have already applied and I have My KIBCo Reference Code</a>
      </div>
      <!---- end row--->
    </div>
  </div>
</form>

Text Content

Toggle navigation KENYA INSTITUTE OF BUSINESS & COUNSELLING STUDIES (KIBCo)
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 * 
 * KIBCo Website
 * Apply Course


ONLINE COURSE APPLICATION

Welcome to Kenya Institute of Business & Counselling Studies(KIBCo), we are TVET
accredited institution.

Apply today by filling your details on this form and submit it.

Applicatioin Form:
*First Name:
Middle Name:
*Surame:
*Phone Number:
*Email:
*Campus: ---Select---BURUBURU CAMPUSKIAMBU CAMPUSTHIKA CAMPUSKAHAWA
FARMERSKITENGELA CAMPUSUKUNDA CAMPUSRONGAI CAMPUSNAIROBI CAMPUS
*Faculty: SelectAdvanced shortcourse in mental health (AD MH)Advanced Skills In
Counselling (AD CO)School of Business, Accountancy and Languages (SOB)School of
Counselling and Social Studies (SCS)School of ICT & Technical Courses (ICT)
*Program: Select
*Study Mode: select
or I have already applied and I have My KIBCo Reference Code