copy of bursary form - secondary school

8/8/2019 Copy of Bursary Form - Secondary School

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SCHOOL BURSARY APPLICATION FORM

WHAT IS THE PURPOSE OF THIS FORM?

To assist in selecting candidates for Secondary School - Form I bursary. This form will be used

to identify the students to be sponsored.

Since all applicants cannot be interviewed, you need to fill in this form completely and

accurately. This will help to process youre your application fairly.

WHO SHOULD COMPLETE THIS FORM?

Only candidates wishing to apply for a bursary on the following condition.

y Must Have 300 marks out of the possible 500 and above.y Must be from needy family.

ADDITIONAL INFORMATION REQUIRED

y Cover letter stating why you should be considered for a bursaryy Proof of provisional admission (where applicable)y Proof of parents income statement/salary advice

NOTES

This document is not in any way an agreement or commitment.

The selection of learners is totally dependent on excellent results obtained and the outcome of

the selection process.

All Applications to reach Rhino Cement Foundation by

PART A: PERSONAL INFORMATION

Other Names: SURNAME:

DATE OF BIRTH

MALE FEMALE


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Have you ever been convicted of a criminal offence or been dismissed from school

Yes No

If yes give details

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

PART B: CONTACT DETAILS

Contact number____________________________ Alternative____________________

Postal address:

Emails address:

PART D: EDUCATION PARTICULARS

Name of the primary school

attended.

Subject Qualification Obtained

Have you been provisionally accepted by any school? (Please provide proof)

What is the estimated cost of your studies per annum?


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PART F: FAMILY CIRCUMSTANCES

Do you presently have a bursary/study loan?

If yes please state the sponsor or the bursary/study loan.

Please describe any obligations/contracts you may have with your sponsor.

Fathers occupation:

Mothers occupation:

Guardians occupation:

(Please attach proof)

How many dependants are still at home?

How many dependants are in institution?

How many dependants are still at school?

PART G: DECLARTION:

1. I understand that all the information provided in my application may be followed-up andI authorize Rhino Cement Foundation to contact any relevant person for relevant

reference.

2. I declare that the above information to my knowledge is true and correct and accept thatif it were to be found that I withheld any information, the application will be cancelled

immediately

3. I authorize any school/employer to provide the Rhino Cement Foundation with therelevant information that may be useful in making decision.

Signature__________________________________ Date____________________


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OFFICIAL USE ONLY

Comments:

Approved____________

Rejected_____________

Signature___________________________________ Date___________________

Send completed applications and accompanying documents to Secretary, Rhino Cement

Foundation. P O Box 41908 00100, Nairobi

copy of bursary form - secondary school

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