STUDENT REGISTRATION FORM
(Information on Fee Structure) (This should lead to the Fee Structure Page)
Registration Fees:
A Fee of K. Shs. 4,500/- (NON-REFUNDABLE) is payable upon registration, provided a place is available. If a place is not available, the fee may be paid when notification of vacancy is given. ALL CHEQUES ARE PAYABLE TO “NYALI ACADEMIC SERVICES LTD.”
Note: * indicates that the fields are mandatory
If you have made an appllication with us please enter your code to retrieve your record.
Registration Code :
Fields marked by
*
are required fields and must be filled in.
Student's Name
*
Date of birth
Gender
Male
Female
*
Father's Name
Mother's Name
*
CONTACT DETAILS
Address for correspondence
*
Residence Phone
Office Phone
Mobile
Father
Mother
Email
Father
Mother
*
Please enter the Grade for which your child is applying For Academic Year
Passport
Kenyan
Non-Kenyan Passport
Previous School History
Name of School
*
Last Class studied there:
Reason For Leaving:
Record of achievement from previous School:
Health
Family Doctor
Telephone No.
Any Allergies:
*
Any other Health related comments:
NOTICE OF WITHDRAWL: A term’s notice is required to withdraw your child from the school otherwise a penalty of one term’s fee will be charged in lieu of the notice.
I AGREE THAT MY CHILD SHALL OBSERVE WHATEVER REGULATIONS ARE LAID DOWN BY THE MANAGEMENT FOR THE CONDUCT OF THE SCHOOL AND I SHALL BE LIABLE FOR THE PAYMENT OF ALL SCHOOL FEES AND DUES.
Copyright © The Mombasa Academy 2010