Kenya LCM Recorded Exam Registration Form

MPESA
EFT
Check Deposit
Cash Deposit

PLEASE HAVE YOUR DIGITAL RECORDINGS READY AT TIME OF REGISTRATION. We will contact you with an upload link when your registration is processed.

Candidate Name*
Gender*
- Male
- Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Email*
Phone*
Do not start with "254". Start with "0".
Photo ID*
Accepted file types: jpg, pdf.
The photo ID can be a school ID, Passport, or birth certificate scanned alongside a photo of the candidate.
Exam Type*
Subject*
Level*
Enter Institution or Teacher Details?
If entered, institution or teacher details will be included on the certificate. Certificates will also be sent to the institution or teacher.
- No
- Yes
Teacher / Institution Name*
Teacher / Institution Email*
Teacher / Institution Phone*
Payment Total
EFT Surcharge
KES110.00
YOUR FINAL TOTAL
KES0.00
Payment Details
Select Payment Method*
- MPESA (Preferred)
- EFT (KES 110.00 Surcharge added for EFT payments)
- Check
- Cash
Payment instructions will appear below for your selection.
*
Send MPESA via Paybill business no. 522522, account no. 1108766781
*
Log into your internet banking and send payment. Account Name: MUSIXX, Account No. 1108766781, Bank: Kenya Commercial Bank, Village Market Branch. NOTE: KES 110.00 surcharge added for EFT payments.
*
Make checks payable to MUSIXX. Deposit at any Kenya Commercial Bank. Account no: 1108766781, Village Market Branch.
*
Make cash deposit at any Kenya Commercial Bank. Account name MUSIXX, account no: 1108766781, Village Market Branch.
Email
This field is for validation purposes and should be left unchanged.

Payment Total