Application Form

HTML & CSS Fundamentals (Part-time)

Learn the foundational building blocks of web development with HTML and CSS. Create beautiful, responsive websites from scratch, understand web design principles, and build a solid foundation for further web development studies.

Format: Part-time (Evening sessions)

Mode: Online

Duration: 4 Weeks

Tuition: KES 10,000

Please fill out the form below to apply. Complete all required fields accurately to ensure your application is processed efficiently.

Phase 1

Phase 2

Application Submitted Successfully!

Thank you for applying for the HTML & CSS Fundamentals (Part-time) program at NeXTra.

We have received your application and will review it within 2-3 business days.

What happens next:

1. You will receive a confirmation email at the address provided

2. Our admissions team will contact you for the next steps

3. Please check your email regularly, including spam folder

We appreciate your interest in joining NeXTra and look forward to potentially welcoming you to our learning community!

Personal Information & Background

Tell us about yourself and your educational background.

Full Legal Name *

Email Address *

Phone Number (WhatsApp-enabled) *

Date of Birth *

Nationality *

Country of Residence *

Highest Level of Education *

Field of Study

Current Employment Status *

Preferred Payment Option *

Have you completed an intensive course before? *

Program Commitment & Documentation

Tell us about your motivation and upload required documents.

Government ID/Passport Number

Emergency Contact Name *

Emergency Contact Phone *

Relationship to Emergency Contact *

How did you hear about NeXTra?

Why are you interested in studying HTML and CSS? *

What relevant skills or experience do you have? (if any)

Upload Passport Photo (Optional)

Click to upload a recent passport-sized photo

Declaration & Consent

I confirm that all information provided is accurate and complete. I agree to the terms and conditions of the NeXTra program. I consent to the collection and processing of my personal data for admission purposes.

Digital Signature (Type your full name) *

Date *

Additional Comments or Questions