(In partnership with the Government to Provide a Holistic quality Education)

PUPIL TRANSFER FORM

SCHOOL DETAILS

Name of School ______________________________ County ________________________

Address ______________________________ Sub-County ______________________________

Head teacher ______________________________ Tel Phone No: ______________________________

PUPIL DETAILS

Pupil Name: ______________________________ Nationality: ______________________________

Date of Birth: ______________________________ Nemis Code: ______________________________

Date of Admission: ___________________________ Date of Transfer: ___________________________

Current Class: ____________________________ Transfer Level: ____________________________

Parent / Guardian Names and Details

1. ______________________________ Contacts ______________________________

2. ______________________________ Contacts ______________________________

Sending School Declaration

I hereby attest that the above named pupil is “ in good standing” and that all outstanding matters pertaining to
transfer from our school have been cleared and completed as of the date of this form.

Name ______________________________ Sign _____________________ Date _________________________

(School Manager)
General report – Current year
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Sending school Receiving |School Declaration

Class Teacher _____________________________ This Pupil has enrolled in

Head Teacher _____________________________ Class/Grade____________________________

Date __/__/ _______ On ___ ___ /___ __ / ____ ____ ____

Admission Number ________________________ Admission Number ______________________

Head Teacher Signature Head Teacher Signature

_____________________________ _____________________________
Sending School Stamp Receiving School Stamp

Evidence of transfer to be retained by the sending school and the Receiving school Retains
the original Copy Pupil Transfer Form

A photocopy of this form must be signed and stamped by or on behalf of the principal of the Receiving School and
Pupil’s Sending School.