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A. PERSONAL DATA
Name
*
First
Last
Gender
*
Male
Female
Date of Birth
*
Your Class
*
S1
S2
S3
S4
S5
S6
Nationality
*
Religion
*
B. PLE RESULTS
Former Primary School
*
Index Number
*
Year you sat for PLE
*
PLE Scores (Aggregates & Division)
*
Have you attended any other secondary school before?
*
YES
NO
FORMER CLASS RESULTS
For Continuing Students
Former Class School
*
Former Class Results (Aggregates & Division)
*
Which academic level are you applying for?
*
O LEVEL
A LEVEL
UCE RESULTS
For A Level Students
Former O Level School
*
UCE Index Number
*
Year you sat for UCE
*
UCE Scores (Aggregates & Division)
*
C. PARENT INFORMATION
Father's Name
*
Father's Occupation
*
Father's Place of Work
*
Mother's Name
*
Mother's Occupation
*
Mother's Place of Work
*
Parents' Telephone Contacts
*
Name of person/Organization that pays your fees.
*
Has any of your Siblings been a student Katikamu SDA SS?
- If yes mention their names
D. CO-CURRICULAR ACTIVITIES
Indicate the co-curricular activities you participated in
*
Attach PLE/UCE/any other relevant documents (Pictures or Documents)
*
Click or drag files to this area to upload.
You can upload up to 5 files.
Upload pictures or documents of your PLE/UCE/any other relevant documents
Declaration
*
I confirm the information given is correct to the best of my knowledge.
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