COUNTY GOVERNMENT OF LAMU LAMU COUNTY BURSARIES AND SCHOLARSHIPS BOARD COUNTY GOVERNMENT OF LAMU E-mail: info@lamu.go.ke P.O. Box 74-80500, LAMU Email:Lamucountybursary@lamu.go.ke FINACIALYEAR 2021/2022 SECONDARY SCHOOL NORMAL BURSARY APPLICATION FORM g WARD:....2¢ ASL ition will lead to disqualification FORM Nt INSTRUCTIONS 4. Fill this form with correct information as 2. This application should be accompanied Birth Certificate ‘Stamped KCPE online resut slip ili) Primary leaving certificate Iv) Parent/guardian Identification Card v) Fees structure vi) Admission/Calling etter (MUSTIBe attached)» \L 2. Send the filled form to your respective ward administrator's office ‘Submit dully filled form to’the respective ward administrator's office latest by 15 JULY 2021 NB: Application in moregian.c ‘one (4) Cour fard will lead to disqualification. z fe Nit 1. Surname. 2. Sex Male ( 3. Date of birth.. 4. KCPE Index Number in full. 5. Primary School Attended, 6. Constituency..t 7, Name.of High school Admitted ONE 9. Category of School: Day ( ) Boarding ( )e LY 1. Who is responsible for your education? NCA eA \ 2. Parent/guardian’s Name. o+ oS Phone Contasts’.>2. 02 3. Are there other children /siblings in school? S/N [ NAME. INSTITUTION. CLASS /FORM PRACEe Nie oe Maw NASS Scuedt [Foam 2. a8 4, Have you benefited from other 2) CDF, NGAAF, other donors) this year? YES() NO() If yes from whom? 5. What balance do you have? Ksh: PART C: DECLARATION STE NIV a Ht Sebeiete fo NCA PAR 2. Reasons for not appro\ Chairman’s Name Signature., Secretary's Name Signatur Official stamp..THE KENYA NATIONAL EXAMINATIONS COUNCIL EXAMINATION FOR THE KENYA CERTIFICATE OF PRIMARY EDUCATION ONLINE RESULT SLIP KNEC 27511158 RADIANCE ACADEMY 27511158008 MIGWI VICTORY ABIGAEL WANIIKU *e* 2020 SUBIECT MARK — GRADE ENGLISH LANGUAGE 84 A (PLAIN) KISWAHILI 86 A (PLAIN) MATHEMATICS 80 A (PLAIN) SCIENCE 74 Be (PLUS) SOCIAL STUDIES AND RELIGIOUS EDUCATION 75 A: (MINUS) TOTAL 399 DATE: 210419 Schoo! Stamp & Date: Head Teacher's Signature This result slips snot 0 certiicot. The Kenya National Examinations Counc reserves the right to correct the Information gven on result sips which wll be confirmed by the issue of ertiates. KORE — 2ros00s4927ED/BI00 (Rev) REPUBLIC OF KENYA MINISTRY OF EDUCATION SCIENCE AND TECHNOLOGY KENYA PRIMARY SCHOOL LEAVING CERTIFICATE SCHOOL RADIANCE ACADEMY INDEX...27511138 0.0.8 Admission/Serial No... 0.7.1.9. THIS 1S TO CERTIFY THAT. AVGULVLETORY ABIGAEL WoANTILU enteredthis schoolon... 29.77 endwas enrolled in las... £2......andlefton 22ND MARCH 2021, from Class... EIGHT 2021... having satisfactorily completed the approved course for class... EIGHT. : TH ES Date of Birth (in admission register) 2-0." FAS BOOT Head a) on Pupil’s ability, industry and conduct ABILITY: O.0.0.. a : i INDUSTRY: Ney lod wer korg conpucr. 499.44 Oe thas Noe ache oe Sisrwoins, PUPIL’S SIGNATURE. Whe Date of Issue. 22ND MARCH 2021 Signature. Headteacher RADIANCE SCHOOL, P.O. BOX 3067-20100 NAKURU 22 MAR 2021 "THE HEADTEACHER This Cerificate Was Isrued Without Ary, Erasure Or Alteration Whasoever,JABAHUKIYA KENYA go 4, REPUBLIC OF (ce mama, 202249554 og , sien, 223222: PETER MURITHE HGARIRA er ihe SNAG teTel, ‘Address for immediate/Emergeney contact:.. ‘Nearest Police Station. snsnemnmne Dal APPENDIX UT FEES_PAYMENT- 2020 Parent’s/Guardian signature.. TERMI [TERM2 [TERMS sno | VOTE HEAD KSHS | KSHS | KSHS | TOTAL 1 | BOARDING FEES (BES) TEiss00] 11600] 6077.00] 30,386.00 Z| REPAIRS RMD 1,000.00] 600.00] 400.00 [2,000.00 3[LT&T 328.00] 556.00[ 371.00] 1,855.00 F | ELECTRICITY, WATER & 7753.00 | 1,652.00 | 1,101.00 [5,506.00 CONSERVANCY EWC) 3 | ACTIVITY FUND 399.00} 239.00] 160.00 798.00 © | ADMINISTRATION COST 7,667.00 | 1,000.00] 666.00] 3,333.00 7 | PERSONAL EMOLUMENT 7838.00 | 2,903.00 | 1,935.00] 9,676.00 FOTAL | 2678.00 | 16,066.00 | 10,710.00 | 53,554.00 L Please deposit the fees in any of the following Schoo! Accounts:- Standard Chartered Bank Account No. 01 02 828 828 400 ¢ Kenya Commercial Bank Account No. 1131 692578 4 Equity Bank Account No: 0130269238233.All Nakuru Branches . present the Bankers cheque Money Orders or Pay-in-slip and obtain receipt fo all payments. Personal cheque or gash is not accepted. ‘Yours in Service, ROSE MENJO (MRS) PRINCIPALNAKURU GIRLS’ HIGH SCHOOL P.O.BOX 1352-20100 NAKURU. MOBILE NO, 0716283822 EMAIL :nakurugirlsh@yahoo.com/nakurugirlsh@gmail.com Vision: To Remain Focused On Education Excellence YEAR: 2020 DEAR MIGWI VICTORY ABIGAEL WANJIKU | am pleased to inform you that you have been selected to join form one in our school, Congratulations. Please get your Primary School's Head teacher to endorse the letter in the spaces provided below. Student's Full Name: MIGWI VICTORY ABIGAEL WANJIKU, INDEX NO 27511158008 Marks 399 SUB-COUNTY NAKURU Primary School: AN Head teacher’s Full Name: _(\V\ + RADIANCE ACADEMY’ nad P.O. Box 3067-20100, NAKURL Disclaimer: This letter will be authenticated on being duly certified by the primary school head complete with a certified copy of birth certificate and finally confirmed by the admitting principal. The letter is issued without any erasure or alteration and cannot be changed through any form of endorsement ‘whatsoever; utterance of false documents is an offence punishable by law: ‘You are expected to report at the school during working hours, between 8:00 a.m. and 3.00 p.m.