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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.
To do a certificate in nursing, you need atleast a C- in Biology. With your grade in Biology, you do not qualify.
To do a certificate in Orthopaedic and Trauma Medicine, you need to have KCSE mean grade of C-, C- Biology, D+ in Physics, Mathematics, Chemistry, Computer Studies, etc. Therefore, you do not qualify mainly because of your Biology grade.
You must have a minimum of KCSE mean grade C- and C- in either English or Kiswahili to pursue a Certificate in Mass Communication at Multimedia University of Kenya (MMU)
In order to do certificate in nursing at Kenya Medical Training College (KMTC). You need to have attained the following grades.KCSE C-Kiswahili or English C-Biology C-Chemistry or Physics or Mathematics D+