Student Details

Select Campus & Class

Preferred Campus DE PAUL CATHOLIC SCHOOL KAMULU DE PAUL CATHOLIC JUNIOR SCHOOL

Select Class PLAYGROUP PP1 PP2 GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6 CLASS 7 CLASS 8 GRADE 7 JSS ALUMNI

Stream All Streams MICHAEL GABRIEL

Admission Year

Admission Year

Prospective Student's Information

Surname

First Name

Middle Name

Student Phone number

Student Email

Gender Select Gender Male Female Other

Date of Birth

Birth Certificate Number

Passport Photo Upload

Address & Biodata

Address Info

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Postal Address

City

Select County Mombasa Kwale Kilifi Tana River Lamu Taita?Taveta Garissa Wajir Mandera Marsabit Isiolo Meru Tharaka-Nithi Embu Kitui Machakos Makueni Nyandarua Nyeri Kirinyaga Murang'a Kiambu Turkana West Pokot Samburu Trans-Nzoia Uasin Gishu Elgeyo-Marakwet Nandi Baringo Laikipia Nakuru Narok Kajiado Kericho Bomet Kakamega Vihiga Bungoma Busia Siaya Kisumu Homa Bay Migori Kisii Nyamira Nairobi

Residence

Religion Select religion Christian Catholic Christian Protestant Christian Muslim Hindu Christian-Orthodox Other

Bio-Data (Optional)

Blood Group

Allergies if Any

Pending Immunization

Diseases if Any

Preferred Doctor

Doctor Mobile

Preferred Hospital

Emergency Contact's Name

Emergency Contact's Phone

Emergency Contact's Email

Parent's/Guardian's Details

Family Details

Parental State Both Parents Mother Only Father Only Full Orphan

Family Name

Mother's Details

Full Name

Phone number

Email Address

ID Number/Passport No

Father's Details

Full Name

Phone number

Email Address

ID Number

Guardian's Details

Title Mr. Mrs. Dr. Prof. Rev.

Full Name

Phone number

Email Address

ID Number

Nominee(In case parent/guardian is unavailable, a trusted representative).

Enter Full Names

Nominee's contact number

  Add Nominee

Documents

Documents Upload (optional)

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#	Document Type	Document Title	Document Description

Additional Information

Former school details

Previous School Name

Previous School AdmNo

Total Marks

Year

Assessment No

Reason for leaving and/or Reason for choosing our School

House details

  Day Scholar

  Boarder

  Assign House

Dormitory Select Dormitory

Sports House Select Sports House

Transport Option

  Use Personal Transport

  Use School Tranport

  Select Zone

Select Zone A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Za Zb Zc Zd

  Two Way?