KENYAN EDUCATION MATERIALS & SOLUTIONS

ELIVA College Students Registration

At Eliva, we believe that lack of time due to your commitment to other important activities or even the usually high college fees should not hinder you from achieving your professional dream - especially in this age of technology. We therefore hereby offer you the highest quality Kenyan college education at the convinience and the flexibility of interactive online learning and also at the lowest fees that you will ever find. Just fill in the form below.

Please note that fields marked with asterlik () are mandatory.*

A. Personal Information

I. Student's Details

First Name*:

Middle Name*:

Last Name*:

Date of Birth*:

Student's Username*:

Student's Password* :

Confirm Password * :

II. Guardian's Details

**First Name: Middle Name: Last Name*:**

B. Contact Information

Student's Mobile Phone No*: Student's Email*:

Student's Address: P.O. BOX : Address Town :

Your County: Guardian's Phone No*:

C. Academic Information

Please enter your highest academic qualification, the most recent school you attended and the course you wish to register for.

Your Current Qualification*: Your Former School:

Are you ready to upload your highest level academic certificate in this form right now or would you rather email it to us later? Please select your preffered option here:

Upload the certificate now
Email the certificate later

Scan and Upload your most recent Academic Certificate :

Scan and save your certificate with your phone number as the file name, then after completely filling in this form, you should send the certificate via our email address -

Your preferred course* :

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