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We can see that you performed well in Maths than most of the sciences. You Got Maths A- and physics B+, Chem B-. Are you referring to different results than the one you have shared? We can see you have edited your answer to indicate that you got Maths D+. You must have at least C+ to do any degree engineering course.
With that performance in Mathematics, options are very limited. You might want to consider religious studies courses in colleges or Artisan courses offered in TVET institutions.
There are a number of courses that you can do with a B-. What do you want to become in future so that we can offer specific course recommendations.
No, you cannot do a nursing certificate course with a D plain in Biology. You need to have a C- (minus) and above in Biology. You might want to consider other certificate or diploma courses that you qualify for.
You can apply for any diploma medicine related courses offered in KMTC. For instance, Clinical Medicine, Medical Laboratory sciences, Radiography and Imaging, Pharmacy, etc. However, you must have C (plain) in Physics since they require C (plain) in either Maths or Physics. Here is a complete list of all the courses offered in KMTC and their requirements: https://kmtc.ac.ke/wp-content/uploads/2020/02/KMTC-Programmes-Courses-Feb-2020.pdf Alternatively, consider doing any degree course that is not related to medicine and which Maths is not a requirement.