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Application Form
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Application Form
FOR Admission into (THIKA ROAD ACADEMY)
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Year Level
Playgroup (3YRS)
PP1 (4YRS)
PP2 (5YRS)
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
GRADE 7
GRADE 8
GRADE 9
GRADE 10
Student Personal Information
Name Of Child
*
Date Of Birth
*
MM slash DD slash YYYY
Sex
*
Male
Female
Nationality
Select a Pathway:
STEM
Social Sciences
Arts & Sports Science
KEMIS Number
KJSEA Results
Accepted file types: pdf, jpg, png, Max. file size: 20 MB.
Preferred Subjects/Career Interests
Parents/Guardians
Father Details
Name
Employer
Place Of Work
Postal Address
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Mother Details
Name
Employer
Postal Address
Place Of Work
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Guardian Details
Name
Employer
Postal Address
Place Of Work
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Additional Information
Previous School attended,with dates of attendence
Family Doctor (or clinic) For Emergency
Health History (Allergies, etc)
