Chak form 2026

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Click ‘Get Form’ to open the chak form in the editor.
Begin with SECTION A: BIOGRAPHICAL INFORMATION. Fill in your full names, medical school address, phone number, date of birth, district of birth, marital status, national ID number, email address, and cell phone number.
Proceed to SECTION B: EDUCATION. List the secondary schools you attended along with the years and KCSE mean grade obtained. Include details about your medical school and program enrolled.
In SECTION C: INTERNSHIP POSTING PREFERENCES, indicate your preferred CHAK hospital by ticking the appropriate box. Also specify if you are willing to accept another posting if your first choice is unavailable.
Complete SECTION D: REFERENCES by providing names, addresses, emails, and telephone numbers of three referees who are not family members. Ensure one is from your medical institution, one pastoral reference, and one from an elective term institution.
Finally, review all information for accuracy before signing and dating the application at the bottom of the form.

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What is the best way to electronically sign my chak form?

Many software applications are available out there for document editing and signing. DocHub is one of the most widely used online solutions that comply with all data protection and compliance requirements and ensures your electronically signed documentation is legally enforceable. All you need to give it a try is to sign up for an account, upload your chak form, fill out the requested information, and click Sign. Generate your eSignature by typing, drawing it, uploading its image to your template, or scanning a unique QR code.

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