MWALIMU NATIONAL CHILD HOPE FORM ONE SCHOLARSHIPS.
SCHOLARSHIP APPLICATION FORM
FORM NO. MN-3a
A. Kindly complete the application form in BLOCK Letters.
B. Provide accurate details on all the parts as required.
C. Attach copies of your Birth Certificate, Results Slip, Leaving Certificate, Secondary School Admission Letter and Death Certificates for the parents.
D. This scholarship is ONLY meant for Total or Partial Orphans who scored 350 marks in KCPE and whose parent(s) was/were Mwalimu National SACCO Society members.
E. Note that the chances are limited and opportunity will be given competitively.
F. This form is for preliminary assessment only.
G. Giving of false information will lead to automatic disqualification.
Middle Name:
Primary School Details
Name of The Last Primary School Attended:
Postal Address: Code: Telephone No. (If Applicable) Head Teacher’s Names:
Names Used in Kcpe Examination:
Year Of Examination: Index No.
Marks Attained in Examinable Subjects
English: Maths: Science: Social Studies & Religion: Kiswahili: Total Marks: Mean Grade:
State Name of The Secondary School Admitted To
Name:
Address: County:
Father
Name:
ID Number: TSC./PF Number:
Mother
Name:
ID Number: TSC./PF Number:
Parents’ Last Working Station
Name of Institution:
Postal Address: Code: County:
See also; Equity Wings to fly scholarship for 2021 form ones; Application form, requirements and how to apply
Instructions To Applicants
PART 2: SCHOOL AND EXAMINATION DETAILS
PART 1: APPLICANT’S DETAILS
Names:Last (Surname): Date Of Birth:
Place Of Birth: County:
DD/MM/YYYY
First: Gender:
Home District:
F M
PART 4: GUARDIAN’S DETAILS
Name:
Id Number: Postal Address: Mobile Number:
Code:
Relationship:
County:
Occupation:
WE REQUEST YOU TO GET A RECOMMENDATION FROM THE FOLLOWING:
(You can get a recommendation letter from the indicated officer(s) or use the space below for the recommendation. In either case the recommendation must bear an official stamp from the officer)
A) Head Teacher of your Previous Primary School:
County: Signature: Date: DD/MM/YYYY
B) Your Chief or Assistant Chief:
County: Signature: Date: DD/MM/YYYY
C) Bishop/Pastor/Priest/Kadhi:
County: Signature: Date: DD/MM/YYYY
D) Branch Chairman’s Recommendation:
County: Signature: Date: DD/MM/YYYY
E) Scholarship Committee’s Recommendation:
Signature: Date: DD/MM/YYYY
F) Marketing’s Recommendation:
Signature: Date: DD/MM/YYYY
G) CEO’s Recommendation:Signature: Date: DD/MM/YYYY
PART 5: RECOMMENDATIONS
PART 6: FOR OFFICIAL USE ONLY:
In case of any queries, contact Mwalimu National.
Mwalimu National, P.O. Box 62641 – 00200, Nairobi, Kenya, Tel +254 020 29560000, Cell +254 709 898000
SMS No. +254 721 270944, [email protected], www.mwalimunational.coop
Get the application form here; The Mwalimu National Child hope KCPE 2020 candidates scholarship application form 2021
