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APPLICATION FOR ADMISSION FORM
This Application Form is to be filled by the parent(s)/guardian(s) of the applicants seeking admission to Form 1 or Form 2.
The form is divided into 4 major sections: Student, Family, Academic and Health profiles.
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Email
*
Your email
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First Name of Applicant (Student):
*
Your answer
Middle Name(s) of Applicant (Student):
Your answer
Surname of Applicant (Student):
*
Your answer
Applicant's NEMIS UPI:
Your answer
Age of Applicant (Student):
*
Your answer
Date of Birth of Applicant (Student):
*
MM
/
DD
/
YYYY
Citizenship:
*
Kenyan
Other:
County of Residence:
*
Nairobi
Mombasa
Kiambu
Kajiado
Machakos
Other:
Postal Address:
Your answer
Physical Address:
*
The place of residence i.e. Road/Street, Estate, Plot and House No.
Your answer
Religion:
*
Christianity
Islam
Hinduism
Other:
Denomination:
*
e.g. Catholic, Anglican, Baptist, Presbyterian, Sunni, Shia etc.
Your answer
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