KENYATTA UNIVERSITY
DIVISION OF RESEARCH, INNOVATION AND OUTREACH
P.O. Box 43844-00100 Tel: (+254-20) 8710901-19 Ext.3026 Nairobi, Kenya Email:
Website:
APPLICATION FOR AFFILIATION FORM
This form must be filled by persons seeking affiliation to Kenyatta University for research purposes in Kenya. A person seeking affiliation to Kenyatta University mustbe affiliated to an institution of higher learning or a research organization.
  1. Applicants Details
Full Names:
Postal Address:
Mobile Phone Number:
E-mailAddress:
  1. Name of home institution:

  1. Proposed host Department at Kenyatta University :

  1. Duration of the Affiliation:
Start Date:
End Date:
  1. Brief reasons for seeking affiliation:

  1. Title of Research Project:

  1. Brief description of research project:

  1. Research activities to be undertaken:

  1. Where in the country will you collect you data from:

  1. Names of other persons to be included in the affiliation (if a group)
S/No / Name / Institution / Country
Requisite application and affiliation fees
S/N / Category / Application Fee in USD* / Affiliation Fee in USD **
1 / Kenyan Kenyatta University Alumni / 20 / 100
2 / Kenyan Non-Kenyatta University Alumni / 30 / 150
3 / East African Community Citizen / 40 / 200
4 / Rest of Africa / 60 / 250
5 / Rest of the World / 80 / 500
*Non-refundable fee to be paid when applying for affiliation
**Fee to be paid after application for affiliation has been accepted
Paymentis to be made intothe following bankaccount. Cash payment will not be accepted.
National Bank of Kenya
Branch: Kenyatta University
Account Name: Kenyatta University Research Account
Account Number: 01021010781300
Swift Code: NBKEKENXXXX
Note: Form must be accompanied by the following;
1.A letter of introduction from the researcher’s home Institution, duly signed by the relevant administrative officer or Dean of Faculty.
2.An application letter addressed to:
Vice Chancellor,
Kenyatta University,
P. O. Box 43844 – 00100,
Nairobi. Kenya.
3.Copy of research proposal by the applicant.
4.Copy of the NACOSTI application for research permit form, duly filled.
5.Copy of receipt of payment for NACOSTI research permit.

After evaluation of the documents submitted and payment of relevant fee,Kenyatta University would give or decline affiliation and communicate this to the applicant.

Application package should be submitted eitherelectronically throughor by hardcopy to:

Deputy Vice-Chancellor,

Research, Innovation & Outreach

Kenyatta University,

P. O. Box 43844 -00100,

Nairobi, Kenya.