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Application form

Name of the pupil *

First

Last

Gender

Nationality *

include sub-county, county & country

Do you have any disability

If YES above, tell us more about your disability.

I'm applying for: *

Tick where appropriate

Former School

For transfer pupils only!

Reason for Transfer

For transfer pupils only

Immediate Marks scored in latest exam.

Indicate marks scored in the last exam you did in your former school

Parent's/Guardian's Name *

First

Last

Parent's/Guardian's ID no. *

Parent's/Guardian's Mobile no. *

Please send these documents to our email address: info@kirinyagatownshipacademy.sc.ke