National Government Constituencies Development Fund
SOUTH MUGIRANGO Constituency
P. O BOX
KISII
Tel:............................| Cell: 0725912723
Email:
[email protected]|Website:www.ngcdf.go.ke
NG-CDF SOUTH MUGIRANGO
BURSARY APPLICATION FORM SN. 40007090
Names DAVID MAUTI
Gender M
PWD? N
ID/Birth/PP No. 40007090
Institution LUKENYA UNIVERSITY
Admission No. EA/03/KP/4506/2022
Year of study 3
Semester 1
Course Duration 4
Mobile Number +254719183842
Email ID [email protected]
Ward TABAKA
Location S.M CHACHE
Sub Location BOKIMAI
Village
Level of Study UNDERGRADUATE
Mode of Study FULL TIME
Family BOTH PARENTS ALIVE
Income (Father) NOT APPLICABLE
Income (Mother) NOT APPLICABLE
Date of Application 2024-12-03 19:18:51
Note: This form should be presented IN PERSON during the annual university/ college students meeting. You will be required to sign
and produce this form togther with a copy of 1). Your id card or birth certificate 2) Your student ID or admission letter. The attachments
are required for our verificatons to filter ghost applicants. Failure to attach the said copies will lead to automatic disqualification
STAMP......................... SIGN..........................
CHIEF (S.M CHACHE LOCATION ) DAVID MAUTI
I, Chief (S.M CHACHE location ), do ascertain I, DAVID MAUTI , declare that the above
that the above information is true to the best information is true to the best of my
of my knowledge knowledge