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KCA University Attachment Details Form

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140 views

KCA University Attachment Details Form

Uploaded by

EXCELLENT COMPUTERS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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P.

O BOX 56808-00200, NAIROBI


TEL (254) 020 8566177,8561803 FAX (020) 8561077
Email: [email protected]

ATTACHMENT DETAILS FORM:

INSTRUCTION:
1. You are required to fill in duplicate and submit one copy to the faculty a week after your attachment
commencement and keep one copy for your graduation clearance.
2. The form should be duly signed by the attachment organization

PERSONAL DETAILS

Names:…………………………………………………………Registration Num…………………….

Attachment Start Date:……………………………………….…Ending Date…………………………

Student’s Email Address:……………………………………..Mobile Phone Number…………………….

Programme ……………………………Mode of study (Day/ Evening)…………………

ACADEMIC DETAILS

Year/Semester Admitted…………………………… Year and Semester


Completing……………………..

ATTACHMENT DETAILS

Name of Attachment organization………………………………Branch:……………………………….

Address:……………………………………………………….Telephone:………………………………

Street (e.g.Jabavu):……………………………Building:…………………………………………………

Office Name/NO:……………………………Location (e.g.Hurlingam)………………………………

INTERNSHIP RETURNS
Name of University Assessor…………………………………………Date of Assessment……………..

Signature/Stamp of Industry Supervisor…………………………………………………………………

Date of Returning the logbook………………………………………………………………………….


This information is a complete description of who I am and everything about my Academic and
Internship program.
Advancing Knowledge, Driving
Change
Sign:……………………………………… Date:……………………………………….

Advancing Knowledge, Driving


Change

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