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You'll Upload your Recommendation Letter, Passport Photo, UCE, UACE, Degree/Diploma, Birth Certificate, and National ID/Passport.

SCHOLARSHIP APPLICATION FORM

PERSONAL INFORMATION

Entry Date *

Student Name *

Gender *

Contact Tel. *

Contact E-mail*

Whatsapp No. *

Date of Birth *

National Identification Number *

Passport Number*

Village *

Parish *

Sub-county *

District *

Emergency Contact

Contact Person *

Tel. *

Relationship *

Education Backgraound

A-Level School for UACE *

A-LEVEL Index No. *

A-LEVEL: Year Completed *

A-LEVEL: Points/Aggregate Scored *

O-LEVEL SCHOOL *

O-LEVEL Index No..*

O-LEVEL: Year Completed *

O-LEVEL: Points/Aggregate Scored *

Primary School *

PLE Index No.*

Primary: Year Completed *

Primary: Points/Aggregate Scored*

School Fees History

A-Level Fees paid by? *

Relationship to person who paid fees at A-Level*

Contact of person who paid fees at A-Level *

Fees per term at A-Level *

Person who paid fees at O-Level *

Relationsip of person who paid fees at O-Level *

Tel. of person who paid fees at O-Level *

fees per term at O-Level *

Person who paid fees at P7*

Relationship of Person who paid fees at P7 *

Tel. of person who paid fees at P7 *

Fess per term at P7 *

Schoolaship Category

Course *

Academic Year *

Schedule Time *

Intake *

Father's Details

Father's Name *

Father's Date of Birth *

Is Father Dead or Live *

Village of Father*

Parish of Father*

Sub-county of Father*

District of Father *

Nationality of Father *

Country of Residence of Father *

Father's Highest level of Residence *

Father's Job *

Postal Address of Father *

Contact of Father *

Mother

Mother's Name *

Mother's Date of Birth *

Is mother Dead or Live? *

Village of Mother*

Parish of Mother*

Sub-county of Mother*

District of Mother *

Nationality of Mother *

Country of Residence of Mother *

Mother's Highest level of Residence *

Mother's Job *

Postal Address of Mother *

Contact of Mother *

Family Social-Economic Situation

How many biological brothers do you have? *

How many biological sisters do you have? *

Brothers' age brackets? *

Sisters' age brackets? *

Biological Sisters & Brothers at School *

Who pays for them fees? *

At what stage in the term is fees paid? *

Dependency Information

Number of dependants in your family *

Age brackets of dependants in the family *

How are they related to you *

How many dependants are attending school? *

How many dependants aren't attending school? *

Social Aspects/Details

Where do family members usually go for medical care? *

Source of food for the family *

Source of Water *

What do you use as lightL *

Fuel Type *

What do you use to cook?*

How big is your land? *

Which of these possessions do you have? handset/telephone, Bicycle, TV, Moyorcycle

Confidential Information

Whom do you trust most? *

Tel. of 1st Confidential Person*

Address of 1st Confidential Person*

2nd Confidential Person *

Tel. 2nd Confidential Person *

Address of 2nd Confidential Person *

Verification of Information Provided

LC1 Chairperson/Head Teacher/Pastor/Football Coach

LC1 Chairperson/Head Teacher/Pastor/Football Coach: Tel

LC3 Chairperson (Optional)

LC3 Tel. (Optional)

Referee & Tel. Contact (Optional)

Which talent(s)? *

Do you agree to our terms? *

Your application was submitted, thank you!