MAASAI MARA UNIVERSITY

OFFICE OF THE REGISTRAR - ACADEMIC AFFAIRS

Tel: +254 020 5131400 P.O. Box 861 - 20500
E-mail: [email protected] NAROK

ADM NO: BB07/SR/MN/17144/2022 Date: 1st July, 2022

KIPKOSGEI GODFREY
P.O Box 98-30301
NANDI HILLS
Tel: 0759640102/0790092910
Dear Kipkosgei,
RE: ADMISSION TO THE UNIVERSITY FOR THE ACADEMIC YEAR 2022/2023
I am pleased to inform you that you have been offered a place in Maasai Mara University at the SCHOOL OF
BUSINESS AND ECONOMICS to pursue a course leading to the DEGREE OF BACHELOR OF COMMERCE.
The programme commences on Monday, 29th August 2022. Note that should there be need to refund fees,
request to do so must be received within four (4) weeks of the commencement of the programme.
This offer is made on the basis of the statement of your qualifications as presented by the Kenya National
Examination Council and is subject to verification by the University authorities at the time of registration. It is also
subject to your acceptance to pay the required fees and your agreement to adhere to the Rules and Regulations
Governing the Conduct and Discipline of Students of Maasai Mara University. Please note that at the time of
registration, you will be required to produce this admission letter and originals and copies of the following
documents: KCSE result slip or certificate, school leaving certificate and national ID or birth certificate.
All fees should be banked directly to any of the following University accounts: Account Numbers
0360293859386 of Equity Bank and 01129337192601 of Co-operative Bank, Narok Branch or any other branches
of these banks country-wide. Please note that the University does not accept cash, personal cheques or money
orders.
Kenyan students are advised to apply for a loan from the Higher Education Loans Board (HELB). The
application form should be filled online through the Board’s website - http://www.helb.co.ke.

Enclosed, please find the student information booklet containing joining instructions and the following admission
forms which should be dully filled and scanned copies together with KCSE certificate/result slip and national
ID/birth certificate sent to [email protected] by 31st July 2022. Original copies must be presented on the
reporting date.
(i) MMU/RAA/F022 - Acceptance/Non acceptance/Deferment form
(ii) MMU/RAA/F05 - Student Personal Details
(iii) MMU/RAA/F07 - New Students Medical Examination Form
(iv) MMU/RAA/F08 - Medical Emergency Operation Consent Form
(v) MMU/RAA/F010 - Code of Good Conduct Form
Your assigned email address is [email protected] and the password is your Index Number.
Go to http://www.gmail.com to access your email.

May I take this opportunity to congratulate you on your admission to this University and wish you success in your
academic pursuit.
Please note that: due to the prevailing situation on COVID-19, the reporting date could change if the Government
directive on re-opening of Learning Institutions says otherwise. The University would communicate to you
appropriately in case such a change occurs.
Yours Sincerely,

Dr. Otieno, Fredrick Onyango

REGISTRAR, ACADEMIC AFFAIRS
Encls
 MAASAI MARA
UNIVERSITY

STUDENT INFORMATION BOOKLET

Maasai Mara University Page 1

TABLE OF CONTENT

1. History of Maasai Mara University ………………………………………………………………………………………….3

2. Travelling to Maasai Mara University ……………………………………………………………………………………...3
3. Arrival and Registration…………………………………………………………………………………………………..... 3
4. Immigration…………………………………………………………………………………………………………………… 3
5. Admission Forms……………………………………………………………………………………………………………..3
6. Medical Examination………………………………………………………………………………………………………… 4
7. Medical Attention at the University……………………………………………………………………………………….... 4
8. Fees and Living Expenses…………………………………………………………………………………………………..4
9. Bursary and Loans……………………………………………………………………………………………………………4
10. Accommodation……………………………………………………………………………………………………………… 4
11. Games and Sports……………………………………………………………………………………………………………5
12. Conditions for Registration…………………………………………………………………………………………………..5
13. Deferment of Students………………………………………………………………………………………………………. 5
14. Inter/Intra School Transfers …………………………………………………………………………………………………. 5
15. Nominal Roll………………………………………………………………………………………………………………….. 5
16. Student Identity Cards………………………………………………………………………………………………………. 5
17. Rules and Regulations Governing the Conduct and Discipline of Students………………………………………… 5
18. How to reach Maasai Mara University …………………………………………………………………………………… 6

APPENDICES

1. Fees Structure
2. Acceptance / Non Acceptance/Deferment Form - MMU/RAA/F22
3. Student’s Personal Details Form - MMU/RAA/F05
4. New Students Medical Examination Form - MMU/RAA/F07
5. Medical Emergency Operation Consent Form - MMU/RAA/F08
6. Code of Good Conduct Form - MMU/RAA/F10

Maasai Mara University Page 2

 MAASAI MARA UNIVERSITY
I. BRIEF HISTORY ON MAASAI MARA UNIVERSITY
Maasai Mara University which was formerly Narok University College (NUC) was established by the government
of Kenya through the Legal Order No. 101 of July, 2008 as a constituent college of Moi University. It started as a
campus of Moi University in February 2007 before its elevation to Narok University College. It was awarded its
charter on 12th February 2013 and became a fully pledged University thus the name Maasai Mara University.

II. TRAVELLING TO MAASAI MARA UNIVERSITY

Maasai Mara University’s main campus is located approximately 2 km from Narok town along the Narok-Bomet
Road. The University is served by town service matatus or taxis which operate from town to the University gate.
The University also has 2 satellite campuses; Narok Town and Kisii campuses. The main campus admits both
Government Sponsored and Privately Sponsored students while the satellite campuses admit Privately
Sponsored Students only. Please refer to the map on page 4 for directions to the main campus.

III. ARRIVAL AND REGISTRATION

Students are expected to arrive at the university between 8.am and 5.00 pm on the opening day for registration.
Any student arriving after 5.00 pm will not be registered and will therefore not be given accommodation until the
following day.

IV. IMMIGRATION
All students who are not citizens of East Africa must possess VALID PASSPORTS BEFORE arriving in Kenya
and will be required to present them before registration at the University. Temporary travel documents are not
acceptable to the Immigration authority in Kenya. In Addition, all non- citizens must obtain re-entry permits from
their own territorial Immigration departments to cover the duration of the courses and must bring their passport
with them when they come to register at the University.

V. ADMISSION FORMS
All students are required to complete the following Joining Instruction forms. Form should be dully filled and scanned
copies together with KCSE certificate/result slip and national ID/birth certificate sent to [email protected] by
31ST July 2022 and the originals must be presented to the University on the reporting date. While sending your
scanned documents the subject should be your admission number.
a) To be submitted at least one month before the reporting day.
1. MMU/RAA/F 22 - Acceptance , Non- acceptance and Deferment form
2. MMU/RAA/F 05 - Student Personal Details forms (Quadruplicate)
3. MMU/RAA/F 07 - New Students Medical Examination Form
(Make a copy of the form after its signed by Examining doctor)
4. MMU/RAA/F 08 - Medical Emergency Operation Consent Form
5. MMU/RAA/F 010 - Code of Good Conduct Form
N/b- You are required to attach passport size photos to the forms as indicated.

Maasai Mara University Page 3

 VI. MEDICAL EXAMINATION
Admission into the University is subject to receipt of satisfactory Medical report. Students are therefore required
to undergo medical examination by a recognized medical practitioner before reporting to the University using
form MMU/RAA/F 07.

VII. MEDICAL ATTENTION AT THE UNIVERSITY

The University has a health clinic on campus which is open to all students while on session. Students are
required to pay a non-refundable compulsory medical fee of Kshs. 3000 per semester, to enable them benefit
from out-patient treatment at the University. However, the University does not provide dental and optical
treatment and in-patient services. Any student requiring these services shall be referred to the nearest District
Hospital whereby the student shall be expected to meet the cost of treatment.

Parents or guardians are expected to sign the medical consent form MMU/RAA/F08 for emergency operation(s)

VIII. FEES AND LIVING EXPENSES

a) Fees
Students are required to pay both accommodation and semester fee by 15th August 2022. All fees should be
banked directly to any of the following University accounts: Account Numbers 0360293859386 of Equity Bank and
01129337192601 of Co-operative Bank, Narok Branch or any other branches of these banks country-wide. Please
note that the University does not accept cash, personal cheques or money orders. No student will be registered
before paying the fees as required. (The fee structure is attached). All payments must be made in the University
accounts indicated in the fees structure and the pay in slips presented to the Student Finance for issuance of a
University official receipt.
All non- Kenyans must produce evidence of adequate financial support before coming to the University. The evidence must
be in the form of a letter from the sponsor guaranteeing adequate financial support for the entire duration of the course.
b) Living Expenses
Students residing in the hostels are expected to cater for their own meals. The University provides food in the cafeteria at
subsidized rates. Students are therefore advised to have with them enough money to cater for their meals personal
expenses and writing materials. Students are also expected to have with them pocket money for their personal expenses. such
as clothing.

IX. BURSARY AND LOANS

Kenyan Students who are registered for undergraduate programmes are encouraged to apply for Loans and Bursaries from
the Higher Education Loans Board (HELB). You are encouraged to visit the HELB website www.helb.co.ke for more
information on the financial aid.

X. ACCOMMODATION AND MEALS

a) Accommodation
The University provides accommodation on campus to government sponsored students. However due to limited facilities,
bed space is allocated on first come first served basis. Students residing in the hostel are issued with a bed and mattress.
Students are therefore expected to bring with them blankets, sheets, pillows and washing basin. All resident students are
expected to adhere to the terms and conditions of occupancy which will be provided on the reporting date. The Accommodation
fee is indicated in the fee structure attached.
Due to limited space on campus, Privately Sponsored students are advised to seek alternative accommodation facilities outside
the University.
b) Meals
Students residing in the hostels are expected to cater for their own meals. The University has a Cafeteria Service which
is operated on Pay-As-Eat System at subsidized rates. Students are therefore advised to have with them enough money
to cater for their meals.
Maasai Mara University Page 4
 XI. GAMES AND SPORTS
Extra- curricular activities are essential for total human mental and physical development. These activities provide relaxation to
the stressed, frazzled and exhausted mind thus afford appropriate outlet for releasing pressure. The University encourages all
students to participate in at least one game and one sport. The University offers a wide range of sporting activities including
soccer, hockey, basketball, volleyball, handball, tennis, table tennis, badminton, taekwondo, karate, athletics, swimming, netball,
chess, scrabble, darts and rugby. Students participate in these sports both at recreational and competitive levels. The
University organizes for students to participate in inter- University championships, locally, regionally and internationally. In order to
participate actively, students are advised to come with their own training kit and appropriate playing equipment for
games and sports of their choice. These include uniforms, boots, hockey sticks, racquet or bats, tracksuits, swimming
costumes and ghee suits. The University has an “Official competition kit” which will be provided ONLY during
Competitions. Other basic items for training such as balls will be provided for training and practice of the respective
teams.
XII. CONDITIONS FOR REGISTRATION
Please take note that NO student will be registered without producing the following:
a) The Original and copy of the Admission letter.
b) Original and copy KCSE Certificate/result slip.
c) Original and copy of National Identity card or Birth Certificate for those who are below 18 year old.
d) Admission forms indicated in section IV of this
e) Receipts for requisite fees.
N/B The original documents will be returned to the students after verification of their authenticity.

XIII DEFERMENT OF STUDENTS

Any student who is unable to report for one reason or another should complete the acceptance/non-
acceptance/deferment form (MMU/) and submit it to the Registrar, Academic Affairs at least one week prior to the
opening date. A student who does not submit the form will be deemed to have forfeited his/her admission to the
University. Take note that deferments are allowed for a maximum of four (4) academic years.

XIV INTER/INTRA SCHOOL TRANSFERS

Inter/intra school transfers will be processed within the first three weeks of the semester. A student who wishes to
transfer will be required to fill and submit the inter/intra school transfer form and attach a copy of the KCSE result slip.
All applications will be considered by the Deans Committee based on the qualifications for the course and the
availability of space in the particular course. Students whose applications are successful will be notified through a
memo and will also be issued with letters indicating their new admission numbers.

XV NOMINAL ROLL
The nominal roll is a record of all students registered in each programme every semester. It provides important
information on every student and also helps in tracking the progress of the student from one semester to another.
Each student is required to sign the nominal at the beginning of the semester after paying the required fees for the
semester as per the university policy. Students who fail to sign the nominal roll by the third week of every semester
will be required to defer their studies.

XVI STUDENT IDENTITY CARDS

Every duly registered student is issued with a student identity card bearing the photo and details of the student. The
identity cards allow easy identification of students and gives them access to various service points e.g. the library and
Maasai Mara University Page 5
heath unit. Each student must therefore have with them their student identity card at all times. Any student who loses
his/her card will be required to report the loss at a police station and obtain an abstract. The student will also be required
to report the loss at the Student Affairs office. After that the student will report to the ICT department for a replacement
of the card after paying the relevant fee.

XVII RULES AND REGULATIONS GOVERNING THE CONDUCT AND DISCIPLINE OF STUDENTS OF MAASAI MARA
UNIVERSTITY
Students are required to observe regulations governing the conduct and discipline of students while in the university. You will
be issued with a booklet containing the rules and regulations governing students conduct upon registration.

HOW TO REACH MAASAI MARA UNIVERSITY

Maasai Mara University Page 6

 MMU/RAA/F22

MAASAI MARA UNIVERSITY

OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

ACCEPTANCE / NON ACCEPTANCE/DEFERMENT FORM

A) ACCEPTANCE

Name
(Surname Middle Name First Name)
Registration No. ID/Birth Cert. No.

With reference to your letter offering me a place in the School of

for the course leading to the award of Certificate/Diploma/Degree

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 Maasai Mara University and I hereby
undertake to complete the course for which I have been accepted at Maasai Mara University unless I am
requested to discontinue by the University authorities.

I understand the change of School or Department will be permitted only by authority of Senate.
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 : .............................................

N/B: A student is allowed to defer studies for a period of two years, renewable once. Those deferring
their registration for a period longer than four years will be required to apply afresh at the time they
wish to report back

C) NON-ACCEPTANCE
State reason(s)

Signature Date

Maasai Mara University Page 7

 MMU/RAA/F05

Affix a
passport
size photo
here
MAASAI MARA UNIVERSITY
OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

STUDENT’S PERSONAL DETAILS FORM

Information provided in this form is intended to assist the Office of the Registrar Academic to understand the
student better. It will be used for the purposes of improving the student’s welfare while at the University. (To be
completed in quadruple (4copies) and in capital letters. Attach a coloured passport size photograph on each form.
1. Name
(Surname Middle Name First Name)

2. University Registration Number

3. National Identity Registration No. (ID) Date of Birth

4. Religion
5. Nationality
6. Home Contact Address
7. Telephone Number: Email Address
8. a) Marital Status
b) Name and Address of spouse (if married)
c) Occupation of Spouse
d) Number of Children
9. a) Full name of father (Alive/Deceased)

b) Contact Address Telephone No.

10. a) Full name of mother (Alive /Deceased)
b) Contact Address Telephone No.
11. Full name of guardian, where applicable
Contact Address Telephone No.
12. Occupation of father
b) Occupation of mother
c) Occupation of spouse, if married
d) Occupation of guardian, where applicable
12. Number of brothers and sisters

Maasai Mara University Page 8

13. Place of birth Location
Name of chief Sub-county
County
14. Place of Permanent Residence: Village/Town
Nearest Town Location

Name of Chief sub-county

Constituency County

Nearest Police Station

15. Give names and addresses of two persons who can be contacted in case of an emergency.
a) Name Relationship
Address & Tel. No.
b) Name Relationship
Address & Tel. No.
16. Name and address of Secondary School(s) attended

Year completed
17. KCSE Results (Subjects and Grades)

18. Any other institutions attended and qualifications attained:

19. Games / Sports: Which games are you interested in?

20. Clubs, Societies and hobbies. Which clubs, societies and hobbies are you interested in?

21. Do you suffer from any physical impairment? If so give details

22. Please give any other information you think is useful to the University

I certify that the information I have provided is correct

Signature Date

Maasai Mara University Page 9

 MMU/RAA/F05

Affix a
passport
size photo
here
MAASAI MARA UNIVERSITY
OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

STUDENT’S PERSONAL DETAILS FORM

Information provided in this form is intended to assist the Office of the Registrar Academic to understand the
student better. It will be used for the purposes of improving the student’s welfare while at the University. (To be
completed in quadruple (4copies) and in capital letters. Attach a coloured passport size photograph on each form.
1. Name
(Surname Middle Name First Name)

2. University Registration Number

3. National Identity Registration No. (ID) Date of Birth

4. Religion
5. Nationality
6. Home Contact Address
7. Telephone Number: Email Address
8. a) Marital Status
b) Name and Address of spouse (if married)
c) Occupation of Spouse
d) Number of Children
9. a) Full name of father (Alive/Deceased)

b) Contact Address Telephone No.

10. a) Full name of mother (Alive /Deceased)

b) Contact Address Telephone No.
11. Full name of guardian, where applicable
Contact Address Telephone No.
12. Occupation of father
b) Occupation of mother
c) Occupation of spouse, if married
d) Occupation of guardian, where applicable
12. Number of brothers and sisters
Maasai Mara University Page 10
13. Place of birth Location
Name of chief Sub-county
County
14. Place of Permanent Residence: Village/Town
Nearest Town Location
Name of Chief sub-county
Constituency County

Nearest Police Station

15. Give names and addresses of two persons who can be contacted in case of an emergency.
a) Name Relationship
Address & Tel. No.
b) Name Relationship
Address & Tel. No.
16. Name and address of Secondary School(s) attended

Year completed
17. KCSE Results (Subjects and Grades)

18. Any other institutions attended and qualifications attained:

19. Games / Sports: Which games are you interested in?

20. Clubs, Societies and hobbies. Which clubs, societies and hobbies are you interested in?

21. Do you suffer from any physical impairment? If so give details

22. Please give any other information you think is useful to the University

I certify that the information I have provided is correct

Signature Date

Maasai Mara University Page 11

 MMU/RAA/F05

Affix a
passport
size photo
here
MAASAI MARA UNIVERSITY
OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

STUDENT’S PERSONAL DETAILS FORM

Information provided in this form is intended to assist the Office of the Registrar Academic to understand the
student better. It will be used for the purposes of improving the student’s welfare while at the University. (To be
completed in quadruple (4copies) and in capital letters. Attach a coloured passport size photograph on each form.
1. Name
(Surname Middle Name First Name)

2. University Registration Number

3. National Identity Registration No. (ID) Date of Birth

4. Religion
5. Nationality
6. Home Contact Address
7. Telephone Number: Email Address
8. a) Marital Status
b) Name and Address of spouse (if married)
c) Occupation of Spouse
d) Number of Children
9. a) Full name of father (Alive/Deceased)
b) Contact Address Telephone No.
10. a) Full name of mother (Alive /Deceased)
b) Contact Address Telephone No.

11. Full name of guardian, where applicable

Contact Address Telephone No.
12. Occupation of father
b) Occupation of mother
c) Occupation of spouse, if married
d) Occupation of guardian, where applicable
12. Number of brothers and sisters
13. Place of birth Location
Maasai Mara University Page 12
 Name of chief Sub-county
County
14. Place of Permanent Residence: Village/Town
Nearest Town Location
Name of Chief sub-county
Constituency County

Nearest Police Station _

15. Give names and addresses of two persons who can be contacted in case of an emergency.
a) Name Relationship
Address & Tel. No.
b) Name Relationship
Address & Tel. No.
16. Name and address of Secondary School(s) attended

Year completed
17. KCSE Results (Subjects and Grades)

18. Any other institutions attended and qualifications attained:

19. Games / Sports: Which games are you interested in?

20. Clubs, Societies and hobbies. Which clubs, societies and hobbies are you interested in?

21. Do you suffer from any physical impairment? If so give details

22. Please give any other information you think is useful to the University

I certify that the information I have provided is correct

Signature Date

Maasai Mara University Page 13

 MMU/RAA/F05

Affix a
passport
size photo
here

MAASAI MARA UNIVERSITY

OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

STUDENT’S PERSONAL DETAILS FORM

Information provided in this form is intended to assist the Office of the Registrar Academic to understand the
student better. It will be used for the purposes of improving the student’s welfare while at the University. (To be
completed in quadruple (4copies) and in capital letters. Attach a coloured passport size photograph on each form.

1. Name
(Surname Middle Name First Name)

2. University Registration Number

3. National Identity Registration No. (ID) Date of Birth

4. Religion
5. Nationality
6. Home Contact Address
7. Telephone Number: Email Address
8. a) Marital Status
b) Name and Address of spouse (if married)
c) Occupation of Spouse
d) Number of Children
9. a) Full name of father (Alive/Deceased)

b) Contact Address Telephone No.

10. a) Full name of mother (Alive /Deceased)
b) Contact Address Telephone No.
11. Full name of guardian, where applicable
Contact Address Telephone No.
12. Occupation of father
b) Occupation of mother
c) Occupation of spouse, if married
d) Occupation of guardian, where applicable
12. Number of brothers and sisters
Maasai Mara University Page 14
13. Place of birth Location
Name of chief Sub-county
County
14. Place of Permanent Residence: Village/Town
Nearest Town Location
Name of Chief sub-county
Constituency County

Nearest Police Station

15. Give names and addresses of two persons who can be contacted in case of an emergency.
a) Name Relationship
Address & Tel. No.
b) Name Relationship
Address & Tel. No.
16. Name and address of Secondary School(s) attended

Year completed
17. KCSE Results (Subjects and Grades)

18. Any other institutions attended and qualifications attained:

19. Games / Sports: Which games are you interested in?

20. Clubs, Societies and hobbies. Which clubs, societies and hobbies are you interested in?

21. Do you suffer from any physical impairment? If so give details

22. Please give any other information you think is useful to the University

I certify that the information I have provided is correct

Signature Date

Maasai Mara University Page 15

 MMU/RAA/F05

Affix a
passport
size photo
here
MAASAI MARA UNIVERSITY
OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

STUDENT’S PERSONAL DETAILS FORM

Information provided in this form is intended to assist the Office of the Registrar Academic to understand the
student better. It will be used for the purposes of improving the student’s welfare while at the University. (To be
completed in quadruple (4copies) and in capital letters. Attach a coloured passport size photograph on each form.
1. Name
(Surname Middle Name First Name)

2. University Registration Number

3. National Identity Registration No. (ID) Date of Birth

4. Religion
5. Nationality
6. Home Contact Address
7. Telephone Number: Email Address
8. a) Marital Status
b) Name and Address of spouse (if married)
c) Occupation of Spouse
d) Number of Children
9. a) Full name of father (Alive/Deceased)

b) Contact Address Telephone No.

10. a) Full name of mother (Alive /Deceased)
b) Contact Address Telephone No.
11. Full name of guardian, where applicable
Contact Address Telephone No.
12. Occupation of father

b) Occupation of mother

c) Occupation of spouse, if married

d) Occupation of guardian, where applicable

12. Number of brothers and sisters

Maasai Mara University Page 16

13. Place of birth Location
Name of chief Sub-county
County
14. Place of Permanent Residence: Village/Town
Nearest Town Location
Name of Chief sub-county
Constituency County

Nearest Police Station

15. Give names and addresses of two persons who can be contacted in case of an emergency.
a) Name Relationship

Address & Tel. No.

b) Name Relationship
Address & Tel. No.
16. Name and address of Secondary School(s) attended

Year completed
17. KCSE Results (Subjects and Grades)

18. Any other institutions attended and qualifications attained:

19. Games / Sports: Which games are you interested in?

20. Clubs, Societies and hobbies. Which clubs, societies and hobbies are you interested in?

21. Do you suffer from any physical impairment? If so give details

22. Please give any other information you think is useful to the University

I certify that the information I have provided is correct

Signature Date

Maasai Mara University Page 17

 MMU/RAA/F07

Fix a Passport
size photo here.

Use GLUE-
NO STAPLES
MAASAI MARA UNIVERSITY
OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

NEW STUDENTS MEDICAL EXAMINATION FORM

IMPORTANT: Students are requested to complete Part I of this form, Part II should be completed by the
Medical Officer examining the student. The completed form should be forwarded to the Medical Officer
Maasai Mara University, P.O. Box 861-20500, NAROK
PART I
Name
(Surname Middle Name First Name)
Registration No: School

Date and Place of Birth

Nationality Gender: Male Female

Marital Status
Name, Address and Telephone Number of Parent/ Guardian/ Next of kin

(a) Have you ever been admitted into any hospital?

If so, state reason for admission and date

(b) Have you had any of the following illnesses? (Tick as appropriate)
Tuberculosis or other chest infection? .......................................... Yes/No
Fits, Nervous disease or fainting attacks ......................................Yes/No
Heart Disease or Rheumatic Fever ................................................Yes/No
Any Disease of the Digestive system ............................................Yes/No
Allergies to food or drugs ..............................................................Yes/No
Malaria ...........................................................................................Yes/No
Sexually Transmitted diseases .......................................................Yes/No
Poliomyelitis ..................................................................................Yes/No
If the answer to any of the above is Yes, please give details with dates

Maasai Mara University Page 18

 Is there any other-relevant details of your medical history not covered by the above questions?
Please give particulars

c) Has any members of your family suffered from:

i. Tuberculosis ..........................................................................Yes/No
ii. Mental illness.........................................................................Yes/No
iii. Diabetes Mellitus...................................................................Yes/No
iv. Heart Disease.........................................................................Yes/No
d) Have you been immunized against any of the following diseases:-
i. Small Pox ............................................................................Yes/No/Date
ii. Tetanus.................................................................................Yes/No/Date
iii. Poliomyelitis.........................................................................Yes/No/Date

Signature of Student _ Date

Please note that a pregnancy test will be done on female students upon reporting for studies at the
University

PART II (To be completed by the Examining Medical Officer)

a) Height Weight

b) VISUAL ACTIVITY:
Without glasses
With Glasses Rk. 6 L. 6
With Glasses R. 6 L. 6

c) Hearing Right Ear Left Ear

d) Conditions of:
i) Teeth
ii) Ears
iii) Nose
iv) Throat
v) Lymphatic glands

e) Circulation System:
i. Pulse
ii. Heart
iii. Blood pressure Systolic Diastolic

f) Respiratory System
Chest X-Ray is required.

g) Abdomen; any palpable masses- Physiological or Pathological?

Liver
Spleen

Maasai Mara University Page 19

 Uterus L.M.P

h) Urine: Albumin Sugar

i) Is the student on any treatment?

ii) Any observation of importance
Name of Medical Officer
Signature Date
Official Stamp

PART III
(To be completed by Maasai Mara University Medical Doctor, after the student has registered with
the University)

Special Remarks

Is the student fit for University Education? Yes/No

Date

University Medical Officer

(Name)

Signature

Official Rubber stamp

Maasai Mara University Page 20

 MMU/RAA/F08

MAASAI MARA UNIVERSITY

OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

MEDICAL EMERGENCY OPERATION CONSENT FORM

Name of Student _ Registration No.

Course admitted for

Approval of your parent (s) or guardian (s) is required for the Vice-Chancellor of the University to give
consent on their behalf; in case an emergency operation needs to be carried out on you should a situation
calling for such an operation arises. Parent (s) / guardian (s) / Next of kin are therefore required to
complete the consent form below.

FORM OF CONSENT

I agree that the Vice-Chancellor of Maasai Mara University can consent to an emergency operation on
(insert name) who is my
(state relationship) if it has proved impossible to contact me
on time.

Full Names:

Signature:

Address:

Date:

Maasai Mara University Page 21

 MMU/RAA/F10

MAASAI MARA UNIVERSITY

OFFICE OF THE REGISTRAR (ACADEMIC AFFAIRS)

CODE OF GOOD CONDUCT FORM

I

National ID NO. _ University Registration NO:

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

Signature of candidate:

DATE:

AND WITNESSED IN THE PRESENCE OF:

Parent/Guardian:

Name:

Relationship:

National Identity Card No:

Telephone Number:

Signature(s):

Date

Maasai Mara University Page 22

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