Application Form

Compulsary fields are marked with (*)

Step 1 of 3

Class * Term *
Year *    
Child's surname * Other Names: *
DOB *    
Nationality * Religion *
Former school (If any) *
Clear language to the child:
1

2
       
PARENT’S INFORMATION
Father's Name * Work Contact *
Tel *    
Easiest location and contact of home Area:
District * County *
Sub county * Tel *
LC. 2 * LC. 3 *
Postal Address *