Name Of Institution

Location Plot/L Address Zone Sub County County:

Contacts Postal Address Town Code Email Telephone Cell Phone

Category (Public, Private)

Management Name Of Manager Name Of Sponsor

Institution’s Boys Only Girls Only Mixed Day Only Boarding Partial Regular Special Apbet
Characteristics (Insert) Boarding

Level Approved ECDE Primary Secondary Certificate Diploma Tvet Mdti

Approved Maximum Total

Admissions Per Level

Curriculum Offered Registration No. Status Of The Registration

Cba Approval Minute Name Of The CDE: Signature Of The CDE: Date Of Registration

No: ………………………………..
Official Rubber Stamp
Dated …………………………..