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Online Admission
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Download Application Form
Instructions
NOTE:
Make sure to attach to this form the child’s colored birth certificate, colored mother’s/guardian’s ID card and father’s death certificate. Scan them in the order that the child's birth certificate is on page 1, father's death certificate on page 2, mother's ID ( death certificate if deceased) on page 3, guardian's ID on page 4 and any other supporting document to follow.
You are required to bring with you the following items upon reporting and will be checked before your child's admission is formalized.
Two (2) colored copies of child’s birth certificate.
Two (2) copies of parent’s/guardian’s ID card.
Two (2) passport-sized photographs (to be taken in school uniform or a kanzu/qamis).
One (1) full photograph (to be taken in school uniform or a kanzu/qamis).
School uniform;
Two (2) navy-blue pair of trousers.
Two (2) white shirts.
One (1) navy-blue long-sleeved sweater.
One (1) pair of black leather shoes.
One (1) pair of navy blue track suit with two white stripes.
Two (2) pairs of grey school socks.
3 pieces of navy blue kanzus (qamis).
NOTE: All uniform items MUST be labeled well with the pupil’s name.
NO CIVILIAN CLOTHES WILL BE ALLOWED
Other requirements.
500 Kenya shillings school registration fee
200 Kenya shillings interview fee
1,200 Kenya shillings for madrasa text books, report forms (Paid once per year)
1,500 Kenya shillings for computer studies.
250 Kenya shillings for assessment book (for grade 8 pupils and below)
Enough exercise books, pens and pencils.
School bag
Other personal effects, e.g., toothbrush, toothpaste, hair comb, hair oil, jelly, shoe brush, shoeshine, soaps etc.
One small metal box (sanduku) for keeping personal effects.
Declaration:
By submitting this application form, you declare that all the information provided herein is true and correct to the best of your knowledge. You also understand that any misinformation from your end would lead to automatic rejection of this application.
Basic Details
Class
*
Select
Pre-Primary 1
Pre-Primary 2
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
روضة
صف الأول
صف الثاني
صف الثالث
صف الرابع
صف الخامس
صف السادس
صف السابع
صف الثامن
صف التاسع
Al-Nur Stream (النور)
Al-Hikmah Stream (الحكمة)
Al-Ihsan Stream (الإحسان)
Al-Falah Stream (الفلاح)
Section
*
Select
First Name
*
Middle Name
Last Name
Gender
*
Select
Male
Female
Date Of Birth
*
House
Select
Dorm Sadiq
Dorm Farouq
Dorm Ali
Dorm Dalha
Dorm Osman
Student Photo
Nationality
*
Which Parent Is Alive?
*
Select
Mother
Father
None
Both
Home Town
*
Number Of Male Siblings
*
Number Of Female Siblings
*
Level Reached In The Holy Quran
*
Select
Juz' 1: Al-Fatiha 1 - Al-Baqarah 141
Juz' 2: Al-Baqarah 142 - Al-Baqarah 252
Juz' 3: Al-Baqarah 253 - Al-Imran 92
Juz' 4: Al-Imran 93 - An-Nisa 23
Juz' 5: An-Nisa 24 - An-Nisa 147
Juz' 6: An-Nisa 148 - Al-Ma'idah 81
Juz' 7: Al-Ma'idah 82 - Al-An'am 110
Juz' 8: Al-An'am 111 - Al-A'raf 87
Juz' 9: Al-A'raf 88 - Al-Anfal 40
Juz' 10: Al-Anfal 41 - At-Tawbah 92
Juz' 11: At-Tawbah 93 - Hud 5
Juz' 12: Hud 6 - Yusuf 52
Juz' 13: Yusuf 53 - Ibrahim 52
Juz' 14: Al-Hijr 1 - An-Nahl 128
Juz' 15: Al-Isra 1 - Al-Kahf 74
Juz' 16: Al-Kahf 75 - Ta-Ha 130
Juz' 17: Al-Anbiya 1 - Al-Hajj 78
Juz' 18: Al-Muminun 1 - Al-Furqan 20
Juz' 19: Al-Furqan 21 - An-Naml 55
Juz' 20: An-Naml 56 - Al-Ankabut 45
Juz' 21: Al-Ankabut 46 - Al-Azhab 30
Juz' 22: Al-Azhab 31 - Ya-Sin 27
Juz' 23: Ya-Sin 28 - Az-Zumar 31
Juz' 24: Az-Zumar 32 - Fussilat 46
Juz' 25: Fussilat 47 - Al-Jathiya 37
Juz' 26: Al-Ahqaf 1 - Az-Zariyat 30
Juz' 27: Az-Zariyat 31 - Al-Hadid 29
Juz' 28: Al-Mujadila 1 - At-Tahrim 12
Juz' 29: Al-Mulk 1 - Al-Mursalat 50
Juz' 30: An-Naba 1 - An-Nas 6
Mention The Surah Reached
*
Orphan Nationality
*
Select
Kenyan
Tanzanian
Somalian
Ethiopian
Ugandan
Rwandan
Burundian
South Sudanese
Sudanese
Egyptian
Libyan
Algerian
Moroccan
Mauritanian
Malian
Nigerien
Chadian
Central African
Cameroonian
Gabonese
Congolese
Equatorial Guinean
São Toméan
Gabonese
Gabonese
Angolan
Namibian
South African
Botswanan
Zimbabwean
Mozambican
Malagasy
Comoran
Seychellois
Mauritian
Djiboutian
Eritrean
Yemeni
Omani
Emirati
Qatari
Bahraini
Kuwaiti
Saudi Arabian
Jordanian
Iraqi
Syrian
Lebanese
Palestinian
Israeli
Turkish
Iranian
Afghan
Pakistani
Indian
Nepali
Bhutanese
Bangladeshi
Sri Lankan
Maldivian
Kazakhstani
Uzbek
Turkmen
Kyrgyz
Tajik
Afghan
Mongolian
Chinese
Taiwanese
Hong Konger
Macanese
North Korean
South Korean
Japanese
Mongolian
Taiwanese
Hong Konger
Macanese
North Korean
South Korean
Japanese
Malaysian
Singaporean
Bruneian
Filipino
Indonesian
Timorese
Thai
Laotian
Cambodian
Vietnamese
Burmese
Australian
New Zealander
Fijian
Papuan
Solomon Islander
Vanuatuan
Tuvaluan
Kiribati
Nauruan
Palauan
Micronesian
Marshallese
American
Canadian
Mexican
Guatemalan
Honduran
Salvadoran
Nicaraguan
Costa Rican
Panamanian
Cuban
Jamaican
Haitian
Dominican
Puerto Rican
Bahamian
Barbadian
Trinidadian
Guyanese
Surinamese
Brazilian
Colombian
Venezuelan
Ecuadorian
Peruvian
Bolivian
Paraguayan
Chilean
Argentine
Uruguayan
Father Date Of Death
Father Place Of Death
Father Cause Of Death
Mother Nationality
*
Select
Kenyan
Tanzanian
Somalian
Ethiopian
Ugandan
Rwandan
Burundian
South Sudanese
Sudanese
Egyptian
Libyan
Algerian
Moroccan
Mauritanian
Malian
Nigerien
Chadian
Central African
Cameroonian
Gabonese
Congolese
Equatorial Guinean
São Toméan
Gabonese
Gabonese
Angolan
Namibian
South African
Botswanan
Zimbabwean
Mozambican
Malagasy
Comoran
Seychellois
Mauritian
Djiboutian
Eritrean
Yemeni
Omani
Emirati
Qatari
Bahraini
Kuwaiti
Saudi Arabian
Jordanian
Iraqi
Syrian
Lebanese
Palestinian
Israeli
Turkish
Iranian
Afghan
Pakistani
Indian
Nepali
Bhutanese
Bangladeshi
Sri Lankan
Maldivian
Kazakhstani
Uzbek
Turkmen
Kyrgyz
Tajik
Afghan
Mongolian
Chinese
Taiwanese
Hong Konger
Macanese
North Korean
South Korean
Japanese
Mongolian
Taiwanese
Hong Konger
Macanese
North Korean
South Korean
Japanese
Malaysian
Singaporean
Bruneian
Filipino
Indonesian
Timorese
Thai
Laotian
Cambodian
Vietnamese
Burmese
Australian
New Zealander
Fijian
Papuan
Solomon Islander
Vanuatuan
Tuvaluan
Kiribati
Nauruan
Palauan
Micronesian
Marshallese
American
Canadian
Mexican
Guatemalan
Honduran
Salvadoran
Nicaraguan
Costa Rican
Panamanian
Cuban
Jamaican
Haitian
Dominican
Puerto Rican
Bahamian
Barbadian
Trinidadian
Guyanese
Surinamese
Brazilian
Colombian
Venezuelan
Ecuadorian
Peruvian
Bolivian
Paraguayan
Chilean
Argentine
Uruguayan
Guardian Nationality
*
Select
Kenyan
Tanzanian
Somalian
Ethiopian
Ugandan
Rwandan
Burundian
South Sudanese
Sudanese
Egyptian
Libyan
Algerian
Moroccan
Mauritanian
Malian
Nigerien
Chadian
Central African
Cameroonian
Gabonese
Congolese
Equatorial Guinean
São Toméan
Gabonese
Gabonese
Angolan
Namibian
South African
Botswanan
Zimbabwean
Mozambican
Malagasy
Comoran
Seychellois
Mauritian
Djiboutian
Eritrean
Yemeni
Omani
Emirati
Qatari
Bahraini
Kuwaiti
Saudi Arabian
Jordanian
Iraqi
Syrian
Lebanese
Palestinian
Israeli
Turkish
Iranian
Afghan
Pakistani
Indian
Nepali
Bhutanese
Bangladeshi
Sri Lankan
Maldivian
Kazakhstani
Uzbek
Turkmen
Kyrgyz
Tajik
Afghan
Mongolian
Chinese
Taiwanese
Hong Konger
Macanese
North Korean
South Korean
Japanese
Mongolian
Taiwanese
Hong Konger
Macanese
North Korean
South Korean
Japanese
Malaysian
Singaporean
Bruneian
Filipino
Indonesian
Timorese
Thai
Laotian
Cambodian
Vietnamese
Burmese
Australian
New Zealander
Fijian
Papuan
Solomon Islander
Vanuatuan
Tuvaluan
Kiribati
Nauruan
Palauan
Micronesian
Marshallese
American
Canadian
Mexican
Guatemalan
Honduran
Salvadoran
Nicaraguan
Costa Rican
Panamanian
Cuban
Jamaican
Haitian
Dominican
Puerto Rican
Bahamian
Barbadian
Trinidadian
Guyanese
Surinamese
Brazilian
Colombian
Venezuelan
Ecuadorian
Peruvian
Bolivian
Paraguayan
Chilean
Argentine
Uruguayan
Has The Orphan Ever Suffered From Any Chronic Illness? If Yes briefly Explain
*
Does The Orphan Have Any Physical Disability? If Yes briefly Explain
*
Is The Orphan allergic To Any Food Or Medication? If Yes briefly Explain
*
Parent Detail
Father Name
Mother Name
Mother Phone
Mother Occupation
Guardian Details
If Guardian Is
*
Father
Mother
Other
Guardian Name
*
Guardian Relation
*
Guardian Email
Guardian Phone
Guardian Occupation
Guardian Address
Student Address Details
If Guardian Address Is Current Address
Current Address
If Permanent Address Is Current Address
Permanent Address
Miscellaneous Details
Previous School Details
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