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p1 Registration Form

This document contains a registration form for applicants to teacher training colleges in Kenya for the year 2018. The form collects personal details of applicants such as name, date of birth, education background including secondary school attended and KCSE exam results. Applicants must provide certified copies of their KCSE certificate, ID card, and other documents. They must declare if they have any disabilities and certify that the information provided is correct. Registration officers and applicants must also sign the form to verify the details. Expectant mothers are not allowed to apply and candidates registering in multiple zones will be disqualified.

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antony murimi
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365 views4 pages

p1 Registration Form

This document contains a registration form for applicants to teacher training colleges in Kenya for the year 2018. The form collects personal details of applicants such as name, date of birth, education background including secondary school attended and KCSE exam results. Applicants must provide certified copies of their KCSE certificate, ID card, and other documents. They must declare if they have any disabilities and certify that the information provided is correct. Registration officers and applicants must also sign the form to verify the details. Expectant mothers are not allowed to apply and candidates registering in multiple zones will be disqualified.

Uploaded by

antony murimi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

M I N I STRY O F EDUCATI O N

STATE DEPARTM EN T O F EARLY LEARN I N G & BASI C


EDUCATI O N
DO CUM EN T “ A”

P1 REGI STRATIO N FO RM

REGISTRATION FORM FOR APPLICANTS FOR TEACHER TRAINING IN PRIMARY


TEACHERS COLLEGES FOR THE YEAR 2018

THIS FORM SHOULD BE FILLED BY THE CANDIDATE IN THE


PRESENCE OF THE OFFICER IN-CHARGE

PART 1 – PERSONAL DETAILS


1. FULL NAMES IN BLOCK LETTERS………………………………

2. SEX…………………………………

3. DATE OF BIRTH………………………..AGE…………………………

4. IDENTITY CARD NO………………………………………………...............

5. CONTACT ADDRESS………………………………………………………..

PART 11 – EDUCATION BACKGROUND

(a) Last Primary School attended …………………………………………………


From…………………………to: …………………………………………….

(b) Last Secondary School attended: ………………………………………………


from…………………………to ……………………………………………….

(c) Certificate Number of KCSE…………………Year…………………………..

(d) Index No……………………………………………………………………….

(e) Mean Grade……………………………………………………………………


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PART III – QUALITY OF CERTIFICATE
Indicate grades you obtained at KCSE

GROUP 1 GRADE
Mathematics…………………………… ________
English ………………………………… ________
Kiswahili……………………………… ________

GROUP 2
Biology………………………………… ________
Physics ………………………………… ________
Chemistry……………………………… ________
Physical Science ………………………. ________
Biological Science …………………….. ________

GROUP 3
History and Government……………….. ________
Geography………………………………. ________
C. R. E……………………..…………… _________
I. R. E…………………………………… _________
S.E. E……………….……..……………. _________

GROUP 4
Home Science……………………………. __________
Art and Design…………………………… __________
Agriculture………………………………. . __________
Wood Work………………………………. __________
Metal Work………………………………. __________
Building Construction……………………. __________
Power Mechanics………………………… __________
Electricity………………………………… __________
Drawing and Design……………………… __________
Aviation Technology……………………… __________
Computer Studies…………………………. __________

GROUP 5
French …………………………………… ___________
German…………………………………… ___________
Arabic……………………………………. ___________
Music…………………………………….. ___________
Accounts…………………………………. ___________
Commerce………………………………. . ___________
Economics ………………………………. ___________
Typewriting with office Practice………… ___________

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PART IV - DECLARATION BY THE CANDIDATE

Are you handicapped?YES/NO _________


If yes state the nature of handicap ________

I certify that the particulars given on this Form are correct to the best of my knowledge.

Signature of the candidate______________________________________________________

Date _______________________________________________________________________

PART V – DECLARATION BY THE S.C.D.E.

I certify t the particulars given on this form are correct

Full Name _______________________________________________________________

Signature _______________________________________________________________

Official Rubber Stamp_____________________________________________________

Date____________________________________________________________________

NOTE

1. Expectant mothers should not apply


2. Certified copies of the following documents must be attached to this form:-

(i) One copy of KCSE Certificate/Result slip.

(ii) Two recent passport size photographs, (not photo me)

(iii) One copy of identity card (both sides)

(iv) A copy of co-curricular activity certificate obtained (if any)

(v) One copy of School Leaving Certificate.

3. Candidates who register in more than one zone shall automatically be disqualified.

4. It is an offence to give false information.

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