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MINISTRY OF EDUCATION
STATE DEPARTENENT OF BASIC EDUCATION
FDSE GRANT APPLICATION FORM
‘On Behalf of the Board of Nanagement (BOM) of
(ame of School) of addi
{do apply tobe included in the FDSE programme and be funded as a pubic school.
Thisschool isacated in_____ county and sub
county. Its tatitude is and ts longitude :
‘The school has been in operation for months faving Been
registered on _________. Its registration certificate number is,
and Unique institutional code is,
The choot is atso a registered examination center
whose KNEC code is The school’s enrolment
{sas shown in Table f
Table 1: Enrolment of this Schaol
The school's head of institution was appointed on__by the Teacher's,
Service Commission in_____(substantive Vacting) capacity. The
service sumber for the head of Institution i The Board of
‘management of the school was appointed on and
comprise of _________ members. The BOM
school Bank accounts as shown in Table 2,
pproved Bank Accounts for this schoo!
Renee
as approved the
| have attached certified copies of BOM minutes approving the Bank Accounts of
the school, a letter of appointment by TSC and a Certificate of Registration. |
ID Number, o confirm
that | am aware that the schools willbe funded based on the students envalled on
National Education Management Information System (NENIS) at the time stipulated
In circulars from time to time, | will therefore ensure that all eligible students are
‘enrolled on NEMS at al times,
Page 1 of 3| also do apply for Learning material where there are deficits as shawn tables 3 to
Table 3: Student Books
Booey
(cheney
Physics
story and Government
(costa,
ire
TRE
‘areas
Busines suai
ome Science
Bet Desan|
computer swaaier
French
ist
Pie
Page 2of 3Table 5: Set Books
‘Application made by
Name Designation Signature
“The application has been perused and forwarded by the Sub County Director of
[Education (SCDE). The SCDE also confirms the attached copies are cerified copies
of the originals
Name of SCDE Signature
official Stamps
mn scoe scHooL
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