Riara Springs Academy

P. O. Box 21389 00500 Nairobi

Tel: 0703038222 / 0703038223

11th June 2021

Dear Parent/Guardian,

RE: REGISTRATION OF CANDIDATES FOR 2021 K.C.P.E

Registration for K.C.P.E 2021 is already on, discuss the school choices with the pupil and fill this form as per the instructions
attached.

1. CORRECT NAME: Please write the correct name of your son/daughter in the order shown below.

LAST NAME FIRST NAME MIDDLE NAME

________________ _______________ __________________

2. DATE OF BIRTH:_________________________________ (Attach a copy of birth certificate)

3. SECONDARY SCHOOL CHOICES: Give us the choice of Secondary school for your son/daughter as follows:-

(a) Four National Schools in order of preference (one from every cluster) A school from any cluster can be a candidates first
choice.
SCHOOL NAME SCHOOL CODE NO
(i) ______________________________ _______________________
(ii) ______________________________ _______________________
(iii) ______________________________ _______________________
(iv) ______________________________ _______________________

(b) Three Extra County Schools. (One must be from Nairobi County)

SCHOOL NAME SCHOOL CODE NO.

(i) ______________________________ _______________________
(ii) ______________________________ _______________________
(iii) ______________________________ _______________________

(c) Two County Schools in order of preference (Within Nairobi County)

SCHOOL NAME SCHOOL CODE NO.
(i) _____________________________ ________________________
(ii) _____________________________ ________________________
(d) Two Sub-County Schools (From Embakasi Sub-County)
SCHOOL NAME SCHOOL CODE NO.
(i) _____________________________ ________________________
(ii) _____________________________ ________________________
(d) Please return this form to the school with the details, attachments and fully signed by 14th June 2021.

Yours Sincerely,

Mr. John Muriithi.

THE SCHOOL HEAD

Parent/ Guardian’s Name: ……………………………….. Sign: ……..…………… Date: ……..………