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Information Booklet

FORMS

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0% found this document useful (0 votes)
196 views8 pages

Information Booklet

FORMS

Uploaded by

okothjacky90
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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THE CATHOLIC UNIVERSITY OF EASTERN AFRICA

P.O. Box 62157


A. M. E. C. E. A. Nairobi, 00200, Kenya
Telephone: 0709691000
0709691072
OFFICE OF THE UNIVERSITY REGISTRAR 0709691073
0709691164
E-mail: admissions@cuea.edu
Admissions Office Website: www.cuea.edu

ADMISSION INFORMATION FOR KUCCPS PLACED STUDENTS

Welcome to the Catholic University of Eastern Africa!

Below are some important information and attachments that you require in preparation
to your registration at our institution as a KUCCPS placed Student.

Campuses
The Catholic University of Eastern Africa of Eastern Africa (CUEA) has two campuses:
a. Lang’ata Campus in Nairobi along Bogani East Rd and;
b. Gaba Campus in Eldoret along Kisumu Road

Registration and Orientation


You are expected to report to the campus you have been placed in on Tuesday, 5th September
2023. There will be a compulsory orientation at 10:00 a.m. on the reporting day - Guardians
and sponsors are welcome.

Documents required
Please bring originals and copies of documents as indicated in your admission letter

Fees and Account Details


You are required to pay the semester fee on or before the reporting date. No student will be
registered before paying the fees as required.

You are expected to pay the school fees as indicated on your admission letter. Following your placement
in CUEA by KUCCPS, you are eligible to apply for a Government loan to assist you with your educational
expenses. If you need Government financial support, you MUST make an application for consideration
through the official loan application portal www.hef.co.ke.

Kindly make payments to any of the following University’s bank A/C - Nos:
i. MPESA Playbill:100205 AC Number: Your university Admission Number
ii. NCBA Bank: 6479 000 011(Galleria branch);
iii. Co-operative Bank: 01129 0057 22200 (Parliament branch)
iv. Equity Bank: 0610292352491 (Ongata Rongai branch) and quote your university admission
number as the transaction reference.

NB: your admission number is generated in the last step of updating your profile at
www.admissions.cuea.edu

Cash payments and other cheques (i.e. personal, Company or Cooperatives cheques), are not accepted.
Bursary and Loans
Following your placement in CUEA by KUCCPS, you are eligible to apply for a Government loan to assist
you with your educational expenses. If you need Government financial support, you MUST make an
application for consideration through the official loan application portal www.hef.co.ke.

Accommodation
Due to limited space on campus, you are advised to seek alternative accommodation facilities outside
the University. The University has made contacts with some accommodation providers. Please get
assistance from the Dean of Students (deanstudents@cuea.edu). A list of currently university
approved accommodation providers can be viewed at https://www.cuea.edu/wp-
content/uploads/2023/06/LIST-OF-UNIVERSITY-APPROVED-ACCOMODATION-PROVIDERS-2023-
1.pdf

Deferment of Studies
Any student who is unable to report for one reason or another should complete the Acceptance/Non-
acceptance/Deferment form and submit it to the University Registrar as soon as possible, but not later
than Tuesday, 29th August 2023. A student who does not submit the form will be deemed to have
forfeited his/her admission to the University.

List of Attachments

Kindly print and fill in the following forms that are in the following pages
1. Medical form
2. Acceptance/Non-acceptance/Deferment form
3. Code of Good Conduct form
4. Student Declaration Form
THE CATHOLIC UNIVERSITY OF EASTERN AFRICA
A. M. E. C. E. A

Infirmary
MEDICAL REPORT

Part I: To be completed by applicant in the presence of Medical examiner.

Name in full : .............................................................................

Gender ................................................................................ Date of Birth.............................................................................

Address.......................................................................... Contact.....................................................................................
.
Part II: DECLARATION (Applicant)

I, the above mentioned, do hereby certify that I have carefully considered my answers to the questions below and
that, to the best of my knowledge and belief, the information given is complete and correct.

Sign …………………………………………………. Date ………………………………………...........

1. Have you suffered from any of the following? ( give dates for each ‘Yes’ answer)
Yes No Date
(a) Fits or convulsions or sudden loss of consciousness ( ) ( ) ……………...
- Head injury or ‘Concussion’ ( ) ( ) ……………...
- Nervous breakdown ( ) ( ) ……………...
- Any other Nervous trouble ( ) ( ) ……………...
.
(b) - Tuberculosis of the lungs ( ) ( ) ……………...
- Asthma or ‘Hey fever’ ( ) ( ) ……………...

(c) - Fainting attacks or Giddiness ( ) ( ) ……………...


- Heart diseases, ‘Weak heart’ or strained heart ( ) ( ) ……………...
- Pain in the heart, throat or arm while undertaking physical ( ) ( ) ……………...
Effort

(d) - Kidney or bladder trouble ( ) ( ) ……………..


- Difficulty or pain in passing urine ( ) ( ) ……………..
- Syphilis or Gonorrhoea ( ) ( ) ……………..

(e) - Any eye or ear complaints ( ) ( ) ……………..

(f) - Injury or disease of bones or joints ( ) ( ) ……………..

(g) - Skin diseases ( ) ( ) ……………..


(h) - Vericose veins ( ) ( ) ……………..
(i) - Chronic conditions; Diabetes, Arthritis, HIV, Hypertension. ( ) ( ) ……………..

2. Have you ever suffered from any illness or injury not mentioned ( ) ( ) ……………..
above
3. Are you on current medication for any condition?

4. What operations have you had?


() ( ) ……………..

() ( ) ……………..
5. Family History
Is there any family member known to have; Diabetes, Hypertension,
Epilepsy, Heart disease, Strokes, Sudden death, Cancer ( ) ( ) ………..

Part III: To be completed by Medical examiner

GENERAL EXAMINATION

Height ………………………………………………. Weight ……………………………………………….

B.P mm of Hg ……………………………………… Pulse/ min ……………………………………………

Temperature.………………………………………... Anemia ………………………………………………

Clubbing ……………………………………………. Jaundice ………………………………………………

Eyes ………………………………………………... Nose ……………………………………………….....

Ears……………………………………………….....

SYSTEMIC EXAMINATION

CARDIOVASCULAR SYSTEM …………………………………………………...........................................………………….

RESPIRATORY SYSTEM ……………………………………….........................................…………………………..………..

CENTRAL NERVOUS SYSTEM …………………………………….........................................……………………………….

GASTRO- INTESTINAL SYSTEM ……………………........................................………………………………………………

GENITO – URINARY SYSTEM……………………………......................................……………………………....………….. MUSCULO – SKELETOL

SYSTEM…………………………………......................................…………………………………

FEMALES:

Menstrual History ………………………………………………………………………………….

Investigations required: ………………………………………………………………………...

………………………………………………………………………………………………………

………………………………………………………………………………………………………

Part IV : CERTIFICATE

This is to certify that I have examined ……………………………………………… and find him/ her:-

(1.) In good health and fit for further education …………………................................................

……………………………………………………………….................................…………………………………….

(2.) Free / not free from any mental or physical defect to be aggravated or to endanger the life, health or safety of

himself/ herself or others in the course of his/ her education. …..…………………………………………………

………………………………………………………………….....….................................……………………………..
Date ………………………………………… Signed………………………………………..
(Medical Practitioner)

Address / Stamp. Full Name & Qualification of Medical


Practitioner.
……………………………. ……………………………………..………….

……………………………. ……………………………….………………..

……………………………. ………………………………………………..

……………………………. …………………………………………………

Part V: For official use ONLY.

FIT / UNFIT FOR STUDIES AT THE CATHOLIC UNIVERSITY OF EASTERN AFRICA.

Date ………………………………………. Signed ……………………………………


Medical Officer of Health
The Catholic University of Eastern Africa
THE CATHOLIC UNIVERSITY OF EASTERN AFRICA
P.O. Box 62157
A. M. E. C. E. A. Nairobi, 00200, Kenya
Telephone: 0709691000
0709691072
OFFICE OF THE UNIVERSITY REGISTRAR 0709691073
0709691164
E-mail: admissions@cuea.edu
Admissions Office Website: www.cuea.edu

ACCEPTANCE / NON-ACCEPTANCE/DEFERMENT FORM

A) ACCEPTANCE

Name________________________________________________________________________
(Surname Middle Name First Name)

Admission No._________________________ ID/Birth Cert. No./Passport No: ____________________

With reference to my admission to the course leading to the award of the Degree of
_________________________________________________________________________

I wish to confirm that I DO ACCEPT the offer and I PROMISE TO ABIDE by the rules and
regulations governing the conduct and discipline of the students of the Catholic University of
Eastern Africa and I hereby undertake to complete the course for which I have been accepted,
unless I am requested to discontinue by the University authorities.

I accept the regulations made from time to time for the good order and government of the University.

B) DEFERMENT
State reason(s)
_______________________________________________________________________________

_______________________________________________________________________________

Duration of deferment: From…………………….. to : .............................................

C) NON-ACCEPTANCE
State reason(s)
_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Signature: _________________________________________________ Date: ________________________________


THE CATHOLIC UNIVERSITY OF EASTERN AFRICA
P.O. Box 62157
A. M. E. C. E. A. Nairobi, 00200, Kenya
Telephone: 0709691000
0709691072
OFFICE OF THE UNIVERSITY REGISTRAR 0709691073
0709691164
E-mail: admissions@cuea.edu
Admissions Office Website: www.cuea.edu

CODE OF GOOD CONDUCT FORM

I__________________________________________________________________________

National ID No: _____________________ University Admission No: ________________

Do hereby declare that I will abide by the Rules and Regulations governing the
conduct and discipline of students at the Catholic University of Eastern Africa.

Signature of candidate: ________________________________________________________

Date: ____________________________________________________________________

AND WITNESSED IN THE PRESENCE OF:

Parent/Guardian: _____________________________________________________________

Name: _____________________________________________________________________

Relationship: ________________________________________________________________

National Identity Card No: _____________________________________________________

Telephone Number: __________________________________________________________

Signature(s): ________________________________________________________________

Date: ______________________________________________________________________
THE CATHOLIC UNIVERSITY OF EASTERN AFRICA
P.O. Box 62157
A. M. E. C. E. A. Nairobi, 00200, Kenya
Telephone: 0709691000
0709691072
OFFICE OF THE UNIVERSITY REGISTRAR 0709691073
0709691164
E-mail: admissions@cuea.edu
Admissions Office Website: www.cuea.edu

Declaration by Student
1. The Catholic University of Eastern Africa is owned by the Catholic hierarchies of the Eastern
African region. Its administration is governed by the rules and regulations laid down by the
said hierarchies.

2. As a university, it is devoted to a variety of academic disciplines. Any student whose


behaviour would seriously disrupt the academic work of the University shall be subject to
disciplinary action that could lead to suspension or even expulsion.

3. As a Catholic University, CUEA fully adheres to the doctrinal and moral teaching of the
Catholic Church. Students are required to respect Catholic teaching and practice. A student
who openly shows disrespect and/or opposition in this regard, or whose conduct is clearly
detrimental to Catholic community living, shall be subject to disciplinary action.

4. Students who are not Catholic may be admitted to CUEA. While free to hold their religious
beliefs and practices, they must not engage in activities that show disrespect for the Catholic
Church, nor should they organize or take part in activities that are in any way prejudicial to
Catholic teaching and practice.

5. Students are further required to abide by the rules and regulations outlined in the STUDENT
HANDBOOK and in the CUEASO CONSTITUTION. The Students’ Handbook is available at
https://www.cuea.edu/wp-content/uploads/2022/09/CUEA-STUDENTS-HANDBOOK-28-8-
20182-min-2.pdf.pdf

I agree to abide by the above requirements:

Full Names: ....................................................................... Admission No:………….

Signature: .......................................... Date: .......................

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