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MINISTRY OF EDUCATION

STATE DEPARTMENT FOR EARLY LEARNING AND BASIC EDUCATION

INSTITUTIONAL BIODATA FORM


KILIFI CHONYI
1. County:……………………2.Sub-County:……………………. KILIFI SOUTH
3.Constituency: …………………….
4. Zone: …………………………….
CHONYI CHASIMBA
5. Ward: …………………………………………………
PINGILIKANI PRIMARY SCHOOL
6. Name of Institution/ Centre :…………………………………………………………………………………
(Official Name as in Registration Certificate)
7. NEMIS Code (UIC): ……………. 4S4Z

8. Level: Pre-Primary [ ] Primary [ ] Secondary [ ]

9. School Category Public [ ] Private [ ]

10. Curriculum Offered CBC [ ] 8-4-4 [ ] IBE [ ] GCSE [ ] Montessori [ ] Mixed [ ]

11. SNE Status Regular [ ] Special [ ] Integrated [ ] Special Unit [ ]

12. School gender categorization Boys [ ] Girls [ ] Mixed Boys and Girls [ ]

13. School accommodation type: Day [ ] Boarding [ ] Mixed Day & Boarding [ ]
14. School mobility status: Static school [ ] Mobile school [ ]

15. Registration status with MOE/CEB Registered [ ] Provisional Registration [ ] Not Registered [ ]

03S2000/0030
16. Registration Certificate Number: ……………………….…. 17. Registration Date: …………..……..
19/10/2022

85-13-04-049
17. TSC Registration No. ………………………….. 18. KNEC Registration No. ……………………..
04125209

P051098094N
19.KRA PIN: …………………………….. N/A
20. Certificate of Incorporation (if Private): …………………..

8
21. Postal Address: ………………………. 80119
Code: …………….….. VIPINGO, KILIFI
City/ Town:……………………..

22. School Telephone Contacts: 0720 306 018


Fixed: ……………………….. Mobile: ……………………..…

CHASIMBA POLICE STATION


23. Nearest Police Station: ……………………………………………………………………………………

KILIFI COUNTY HOSPITAL


24. Nearest Hospital/ Dispensary/Health Centre: …………………………………………………………….

Recorded by Principal/ Headteacher/Centre Manager

DICKSON G. NJUGUNA
Name: …………………………………………………………… 0720 306 018
Mobile No.: ………………………..

Signature……………………………………………………….... Date & Stamp……………………….


19/10/2022

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