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Medical Confirmation Form

Confirm a medical condition relevant to a funding application.

About this document

A supporting document confirming that a student has been under medical care and remains vulnerable. You provide only your student details — the medical officer and Commissioner sections are completed, signed, and stamped by authorized officials before your final document is produced.

KES 500

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For scholarship, bursary, and education funding applications.

Medical Confirmation Form

Fields marked * are required.

e.g. 12345678/2023

e.g. 0712 345 678

Information: Completed by an official

Official medical details are added by an authorized official after payment.

Saved on this device as you type.