KASNEBKASNEB Towers, Hospital Road, Upper Hill, P.O. Box 41362 – 00100 Nairobi, Kenya

Telephone: +254(020) 2712640/2712828 Cellphone: 0734 600624/0722 201214Fax: +254(020) 2712915 Email: info@kasneb.or.ke Website: www.kasneb.or.ke

EXAMINATION ENTRY/ANNUAL REGISTRATION RENEWAL FORM

Before filling in this form, please read carefully the notes at the back of this form and the guide to examinations.

1. Personal details Examination Section(s)/Level

(a) Registration number (b)

(c) Identity card/Passport/Birth certificate/Identity card waiting slip No. (d) Contacts: Email Cellphone Landline

C/o P.O. Box Code Town/City Country

2. Examination details Examination sitting (see note 3)

3. Payment details (see notes 5 and 6)

Examination entry fee

Annual registration renewal fee from 1st July to 30th JuneRegistration reinstatement fee (Payable by students with arrears of more than 3 years)

Total

I enclose cash/cheque/money order/KASNEB fee deposit slip No. for Sh. NB: This examination entry/annual registration renewal form shall be retained by the bank if payment is made

through the bank. The bank will forward the form to KASNEB.

4. Declaration by the applicant I hereby certify that to the best of my knowledge all the information I have provided on this form is true and

correct and I agree to abide by the Examination Rules and Regulations of KASNEB. Signature Date

/

Month Year Preferred examination centre (see note 4)

SURNAME FIRST NAME MIDDLE NAME(S)

(see note 2)

Sh. For official use only

KAS/FM/FIN/002

Rev.0/2012

NOTES1. Complete the form in CAPITAL LETTERS (in black or blue ink).2. (a) Indicate the examination and section(s) or level you wish to enter for. Do not indicate the paper(s).

(b) A candidate must pass the preceding section or level before proceeding to the next. (c) Where credit is earned, the candidate will be required to enter for all the paper(s) not passed in a section or level in the same examination sitting.3. (a) There are two examination sittings in a year; May/June and November/December.

(b) If you are paying for annual registration renewal/reinstatement fee only, do not fill in item 2 (examination details). Registration reinstatement fee is payable by students with annual renewal

arrears of more than three years.4. Your Examination Centre should be chosen from the list provided in the Guide to examinations. However,

KASNEB has the right to transfer candidates from a preferred examination centre to another.5. Forms which are incomplete or which are not accompanied by the correct fee will not be accepted. 6. This form will not be accepted if your annual registration renewal fee is not up to date.

EXAMINATION ENTRY FEES

EXAMINATIONSKenya Shillings Foreign Currency Kenya

Shillings Foreign Currency

Sh. US $ £Sterling Sh. US $ £SterlingTECHNICIAN EXAMINATIONS ATC/IST/CMT ICTTLevel I 3,000 50 30 4,500 75 45 * Single Paper * Single Paper (Practical)

900 15 9 900 15 9- - - 1,500 25 15

Level II 3,500 59 35 3,500 59 35 * Single Paper 1,000 17 10 1,000 17 10PROFESSIONAL EXAMINATIONS CPA/CPS/CSIA/CCP CICTPart I Section 1 2,400 40 24 3,900 65 39

Section 2 2,400 40 24 3,900 65 39Total for Part I 4,800 80 48 7,800 130 78* Single Paper 1,200 20 12 1,200 20 12* Single Paper (Practical) - - - 1,900 32 19

Part II Section 3 4,000 67 40 4,000 67 40Section 4 4,000 67 40 6,000 100 60Total for Part II 8,000 134 80 10,000 167 100* Single Paper 2,000 34 20 2,000 34 20* Single Paper (Practical) - - - 2,800 47 28

Part III Section 5 6,000 100 60 6,000 100 60Section 6 6,000 100 60 6,000 100 60Total for Part III 12,000 200 120 12,000 200 120* Single Paper 3,000 50 30 3,000 50 30* Information systems project - - - 6,000 100 60

NB: Examination entry deadlines for: June examinations December examinations Normal entry 15 February 15 August

Late entry 15 March 15 September Late entry attracts an additional 50% of the normal examination entry fee.

ANNUAL REGISTRATION RENEWAL FEE AND REINSTATEMENT FEE

The following are the applicable examination entry, annual registration renewal and reinstatement fees:

EXAMINATIONSKenya Shillings Foreign Currency

Sh. US $ £SterlingRenewal fee Professional 1,400 24 14

Technician 1,200 20 12Reinstatement fee Professional 5,500 92 55

Technician 4,000 67 40