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Senior School Application Form

All fields marked with Asterics (*) are mandatory.

State Required Stream – I.G.C.S.E or K.C.S.E (*)
Please State the required stream.
For a Place in Form? (*)
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Commencing Year? (*)
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Student’s Biographical Details:

Surname (*)
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Other Names (*)
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Date of Birth (*)
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Country Of Birth (*)
Select Country of Birth
Place of Birth
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Religious Denomination
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Parents Details
Father’s Name In Full
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Designation Or Rank (If Any)
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Occupation
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Office / Business Address
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Office Tel
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Cell Phone
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Email Address:
Enter a valid email address.
Mother’s Name In Full
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Designation Or Rank (If Any)
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Occupation
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Office Tel
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Cell Phone
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Email Address (*)
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Parent’s Nationality

Father
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Mother
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Student’s Nationality
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Home Telephone
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Mobile
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Residential Address In Full
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Brothers / Sisters In The Family:

Brother(s)
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Sister(s)
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If you had any brothers/sisters in st. Mary’s please state (Name: Age)
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If you have any sisters in msongari please state (Name: Age)
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If you have any health problems or learning disabilities please give details.
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Academic Background:

Names of schools attended in the past
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Name of last school attended:
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Class in school at present
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RESULTS:

KCPE
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Other exams (specify)
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Why do you wish for your child to study at st. Mary’s school (give a brief account?)
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Intra – Curricular Activities

Which of the following games have you played?
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Have you represented your school in any of these games?
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If YES, Name them
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Have you won any awards (or cup, medals, etc) in any of these games?
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If Yes name them
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Can you play any musical instrument?
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If Yes Expand
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Are you at present studying any musical instruments with a special music teacher?
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EXPAND
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Have you ever sung in a choir?
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EXPAND
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Would you in singing consider yourself to be:
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Extra – Curricular Activities:

Have you any hobbies?
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Expand
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Are you a member of any club outside school? Specify:
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Have you ever been outside Kenya?
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Expand
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Can you write in any other language, fluently, besides English?
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Expand
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Please Enter the captcha as it appears on your screen. These prevents email spamming. (*) (*) Please Enter the captcha as it appears on your screen. These prevents email spamming. (*)	   Refresh
Please Enter the captcha as it appears on your screen. These prevents email spamming. (*)