: National Government Constituencies Development Fund 9 > Sotik Consitituency P.O.Box 866 Sotik kenya Tel no. 0704-317-766 cwwvw.ngedfgo.ke _SOTIK_NG-CDF coe SOTIK NG-CDF BURSAR’ CATION FOR! R_FY -2024/2¢ BE FILLED At Y Proverbs:19-17- "He who is kind to the poor lends to the to the LORD, and he will reward him for what he has done’. PART-A, 1, PARTICULARS OF APPLICANT:~ © STUDENT FULL NAMES:, + GENDER [> ii ADM NOi. Locatior PARENT/GUARDIAN NAME: 2. PARTICULARS OF INSTITUTION/SCHOOL (Must be Filled) . + SCHOOL/COLLEGE NAME + BRANCH/CAMPUS: + COUNTY... 3. APPLICANT'S FAMILY STATUS. (Write Yes /No Where applicable), 1.Both Parents Dead 2. One Parent Dea\ 3, Needy Parent(s} 4, Single Parent 5. Any Disability ? PART- B. Who pays for your School/College fees?.. How much is annual College/School fees? (Attach current fees structure)... How much do you owe the School/ College? Kshs, Amdunt applied for :- Kshs. Have you benefitc from Bursary before? | Yes No Currently, are you < beneficiary of another Bursary Scheme?| i| yes which one and how much have you received this Financial Year?.. >! declare that to the best of my Knowledge the Information given herein Is true. Date: © Student's Signatures. © CDF Sub =loe Chairman/Secretary Name:... 4, PROVINCIAL ADMINISTRATION USE ONLY, © Name of ares Asst/Chief: © Remark: 7 Stamp. 5. FOR OFFICIAL USE BY THE CDFC BURSARY COMMITTEE ONLY. + Amount Awarded: * Chairman Name:... * Secretary,Nami + Office Stamp: 6. MANDATORY REQUIREMENTS. * The latest Report form must be attached where applicable." * Copy of fees structure must be attached, * Must produce evidence of admission to a School, College or University. + Allinformation in the form must be filled. «Soliciting for favours will lead to automatic Disqualification: + Attach death certificate where applicable. * Attach Birth certificate copy (Must) * Attach Photocopies of parents/ Guardian ID card (Both sides Wat Koons Wy aM be