Child Details Gender: MaleFemale Status: SingleMarried Date of Birth: Next of Kin Your relationship with the next of kin ParentUncleSpouseAuntyFriendNeighborOthers(Please Specify…) Please Specify Your Relationship Who are you living with? My Parents(s)Brothers and SistersMy wife and HusbandRelativesMy ChildrenOthers..eg Girl Friend… Child’s Health Do you have any chronic diseases ? Please select the answer which applies to you YesNo You answered ” yes” which one? TuberculosisHepatitis BAsthmaticKidney DiseaseOthers (Please Specify…) Do you have a disability? Please select the answer which applies to you YesNo You answered “yes” which one? Visual ImpairmentIntellectual ImpairmentPhysical DisabilityAcquired Brain InjuryOthers (Specify…..) Child’s Education Background What level of ducation did you achieve? NurseryP1P2P3P4P5P6 Why did you stop at that level? Attach academic certification and recommendation letter accepted files (pdf | doc | docx | ppt |) I hereby apply for registration at Upendo Christian School. I registered I undertake to observe and abide by the rules and regulations of Pupils. I declare that the information on this form is true and correct to the best of my knowledge and i agree for my information to be shared by this school and its partners in order to allow monitoring evaluation and reporting.
