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Form 30

Disha Sandipkumar Patel, an 18-year old Indian national, has applied for a student pass to study at CGHU Secondary School in Nairobi, Kenya for a 2-year course in maths, accounts, and ICT. The application includes Disha's personal details, admission information, academic qualifications, and a signed certification from the school principal confirming her admission. Disha's father, Dipen Madhusudan Patel, has also signed as sponsor for the application on behalf of his minor child. If approved, the student pass would allow Disha to legally enter and receive education in Kenya.

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566 views

Form 30

Disha Sandipkumar Patel, an 18-year old Indian national, has applied for a student pass to study at CGHU Secondary School in Nairobi, Kenya for a 2-year course in maths, accounts, and ICT. The application includes Disha's personal details, admission information, academic qualifications, and a signed certification from the school principal confirming her admission. Disha's father, Dipen Madhusudan Patel, has also signed as sponsor for the application on behalf of his minor child. If approved, the student pass would allow Disha to legally enter and receive education in Kenya.

Uploaded by

new year
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF KENYA

FORM 30
KENYA CITIZENSHIP AND IMMIGRATION ACT, NO.12
APPLICATION FOR A STUDENT PASS
PART 1
PARTICULARS FOR WHOM THE PASS IS TO BE ISSUED
(All particulars to be in capital letters)

1. Full name: PATEL DISHA SANDIPKUMAR

2. Contacts(postal address, telephone number,email address):

Telephone No:0721216008 Email:[email protected] Postal


Address:99444-00100,NAIROBI

3. Nationality(Attach passport copy showing current immigration status):

INDIAN

4. Country and place of residence: KENYA

5. Particulars of educational/training establishment or institution where applicant has been


admitted

Name:CGHU SECONDARY SCHOOL Postal Address: 40204 -00100,NAIROBI Physical


address: 4TH AVENUE PARKLANDS
6.Particulars of the course/research/internship and duration:

MATHS, ACCOUNTS & ICT, Duration: 2

7. Admission number: 4946

8. Insert a declaration by the student/sponser

9. Academic/professional/technical qualifications (Translated and certified academic


certificates for non-English speaking countries by Public Notary or Embassy starting with the
highest)

From(year) To(year) University/College/Institution/School Award/Attainment(Degree,Diploma,Certificate)


2017-08-20 2022-09-30 CGHU SECONDARY SCHOOL Certificate

PART II
To be filled in respect of application on behalf of minors

I ....DIPEN MADHUSUDAN PATEL of (address) ....MUTHTHI ROAD 57 of ....KENYAN (nationality) and


holder of (Passport/ID Number)....AK0191634 do make application for the issue of a pass to enable.... DISHA
SANDIPKUMAR PATEL aged...18presently residing at... MUTHITHI ROAD WESTLANDS, NO 57 the
child of....DIPEN MADHUSUDAN PATELto enter Kenya for the purpose of learning or training in the under
mentioned educatianal establishment .... CGHU SECONDARY SCHOOL.

Signed:........................
Date:...........................

To be completed,stamped and signed by the principal of the educational/training establishment/Organization.

I (fullnames) DR. PARVIZ CHARANIA principal of CGHU SECONDARY SCHOOL (educational or training
establishment) hereby certify that
DISHA SANDIPKUMAR PATEL (full name of the proposed student):
(a). has been admitted as a student in this establishment;
(b).that the issue of student's pass to the above named applicant will not deprive a suitable citizen of Kenya of a
learning or training opportunity in the establishment of which I am principal.

Signed:........................... Date:........................
Principal of CGHU SECONDARY SCHOOL, Postal Address: 40204 -00100,NAIROBI
(Full name and address of educational or training establishment)
Notes:
1. This certificate must be signed by the principal in person
2. Research and intern applicants must attach approval and /or permission from relevant Kenyan authority.
3. Fee
(a) Research and internship - Kshs. 15,000 per annum.
(b) Student pass - Kshs. 5, 000 per annum.
4. It is an offence
(a) To receive education or training at any educational or training establishment within kenya withoit a Pupil's
pass.
(b) While in possession of a pupils's pass, to engage in any form of employment either for gain or not

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