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SIBOH School and Sports Academy

Application Form

Complete the form online

1

Personal Information

2

Academic History

3

Medical & Special Needs

4

Sports & Activities

5

Logistics

6

Declaration

7

Application Fee Payment

Student Information

Full Name of Student *

NEMIS/UPI Number

Date of Birth *

Gender *

Parent / Guardian 1

Name *

Relationship to Student *

Occupation

Mobile Telephone *

Email Address *

Parent / Guardian 2 (Optional)

Name

Relationship to Student

Occupation

Mobile Telephone

Email Address

Physical Address

Residential Address *

Home Telephone

Emergency Contact

Emergency Contact Name *

Relationship to Student *

Telephone *

Grade & Start Date

Grade Applying For *

Proposed Start Date *

Previous Schooling

No previous school

Previous School Name

Number of years at previous school

Reason for leaving

Has the student repeated any year? YesNo

Does the student receive any academic support / tutoring? YesNo

Medical & Special Requirements

Known medical conditions YesNo

If yes — details

Allergies YesNo

If yes — list allergies

Special educational needs YesNo

If yes — details

Medication YesNo

If yes — name & dosage

Sports & Activities

Sports Programme Interest

Consent to participate in sports activities YesNo

Understand and abide by the code of conduct YesNo

Special sports equipment or accommodation needed

Boarding Status

Boarding is only available for Grade 4 and above.

Boarding Status

Transport Requirements

Use of school transport YesNo

Pick-up / Drop-off address (if using school transport)

Declaration & Signature

Parent / Guardian Signature *

Date *

Student Signature (if appropriate)

Student Signature Date

How did you hear about us?

Acceptance of Privacy Policy

I declare that I have read and accept the Privacy Policy. *

Please keep me updated about news, events and offers from SIBOH School.

Complete Your Application

Thank you for applying to SIBOH School and Sports Academy.

To complete your application, please make the KES 2,500 non-refundable application fee payment via M-Pesa using the details below.

M-PESA PAYMENT DETAILS

Paybill Number: 111999

Account Number: 646400#

Amount: KES 2,500

Naiberi Road Moiben

Nairobi Office, Mezzanine Floor, International House, Mama Ngina Street, Nairobi.

info@sibohschool.sc.ke

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☎ Contact Numbers

Main: +254 140 065 658

Admissions:

+254 140 069 328

+254 140 069 416

Finance:

+254 140 069 416

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