Application

Admission No/UPI No
Child's Name*
Date of Birth (Provide a copy of birth certificate)*
Date Format: DD slash MM slash YYYY
Upload child's birth certificate here*
Accepted file types: jpg, gifpng, pdf.
Birth Certificate No
County
Sub County
Gender
Nationality*
Any Special Medical condition
Class
Father's Names
ID NO
Email
Address
Mother's Names
ID NO
Email
Address
Telephone Mum*
Telephone Dad*
Guardian Name
ID NO
Consent
I agree
PLEASE GIVE CONSENT TO THE SCHOOL TO USE THE CHILD’S PHOTOS TAKEN DURING SCHOOL EVENTS, ON ADVERTS, IN OUR SCHOOL WEBSITE AND THE SCHOOL’S SOCIAL MEDIA PAGES.
Parent / Guardian Sign*
Date
Date Format: DD slash MM slash YYYY
Administrator Sign*
Date
Date Format: DD slash MM slash YYYY
Name
This field is for validation purposes and should be left unchanged.