Strathmore Media Permit Form

"*" indicates required fields

First Name*

Middle Name

Last Name*

Phone Number*

Email Address*

Department / Faculty

Media/Organization name*

Purpose of the shoot and the name of the department concerned*

Upload your ID (student ID, passport bio page, or national ID)*

Accepted file types: jpg, png, pdf, Max. file size: 2 MB.

Email of the contact person in the department*

Phone number of the contact person in the department*

List of equipment*

Date of the shoot*