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Personal Details
UPI Number
*
Date of Birth
*
Name as registered in KCPE
*
Total no of children in family
*
Position in family eg 1st
*
Birth Cert Number
*
Ambition stated by student
*
Anticipated KCSE grade
*
--Select grade--
A
A-
B+
B
B-
C+
C
C-
D+
D
D-
E
Religious Denomination
*
--Select religion--
Methodist
Catholic
Hindu
Muslim
Anglican
Others
Height in meters
*
Weight in Kgs
*
Medical History (State any special problems with eyes, ears etc)
*
Has been recommended not undertake any physical exercise?
*
If yes state reason
Any other medical report (including allergies)
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Family Details (Skip where not applicable)
Father details
Name
ID NO.
Occupation
Age
Address
Email
Mobile No.
Religious Denomination
--Select religion--
Methodist
Catholic
Hindu
Muslim
Anglican
Others
Mother Details
Name
ID NO.
Occupation
Age
Address
Email
Mobile No.
Religious Denomination
--Select religion--
Methodist
Catholic
Hindu
Muslim
Anglican
Others
Guardian Details
Name
ID NO.
Occupation
Age
Address
Email
Mobile No.
Religious Denomination
--Select religion--
Methodist
Catholic
Hindu
Muslim
Anglican
Others
Relation to student
If your family is polygamous, state number the number of wives to father
Name of your priest or religious leader
Religious leader phone number
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Residential particulars
Village / Town
*
Name of Sub Area
*
Phone Number
*
Sub Location
*
Name of Sub Chief
*
Phone Number
*
Location
*
Name of Chief
*
Phone Number
*
Name of your constituency
*
Name of your M.P.
*
Sub county
*
County
*
Name of person(s) near the school who can be contacted in case of emergency
*
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KCPE Grades
English Marks
*
English Grade
*
Kiswahili Marks
*
Kiswahili Grade
*
Maths Marks
*
Maths Grade
*
Science Marks
*
Science Grade
*
Social Studies Marks
*
Social Studies Grade
*
TOTAL Marks
*
TOTAL Grade
*
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Medical Report
Upload scanned copy of medical report (pdf 2mb max)
Complete
Hello ,
Welcome to Kaaga Girls
Download Medical report
Thank you for enrolling!
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