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    NG-CDF: National Government Constituencies Development Fund

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    bonface
    This document is a bursary application form for the National Government Constituencies Development Fund (NG-CDF) in Gilgil Constituency. It provides instructions for applicants, requesting personal details of the student and parents/guardians, as well as school information. Recommendations from head teachers, principals, deans, area chiefs and religious leaders are also required. The completed form is submitted to the CDF committee for review and potential bursary award.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NG-CDF: National Government Constituencies Development Fund

    Uploaded by

    bonface
    464 views4 pages
    This document is a bursary application form for the National Government Constituencies Development Fund (NG-CDF) in Gilgil Constituency. It provides instructions for applicants, requesting personal details of the student and parents/guardians, as well as school information. Recommendations from head teachers, principals, deans, area chiefs and religious leaders are also required. The completed form is submitted to the CDF committee for review and potential bursary award.

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    This document is a bursary application form for the National Government Constituencies Development Fund (NG-CDF) in Gilgil Constituency. It provides instructions for applicants, requesting personal details of the student and parents/guardians, as well as school information. Recommendations from head teachers, principals, deans, area chiefs and religious leaders are also required. The completed form is submitted to the CDF committee for review and potential bursary award.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    464 views4 pages

    NG-CDF: National Government Constituencies Development Fund

    Uploaded by

    bonface
    This document is a bursary application form for the National Government Constituencies Development Fund (NG-CDF) in Gilgil Constituency. It provides instructions for applicants, requesting personal details of the student and parents/guardians, as well as school information. Recommendations from head teachers, principals, deans, area chiefs and religious leaders are also required. The completed form is submitted to the CDF committee for review and potential bursary award.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    NG – CDF –FY 2019/2020 –Bursary Form Serial No.

    National Government Constituencies Development Fund


    GilgilConstituency
    P.O Box 524
    GILGIL
    Tel:……………………………………………… | Cell: …………………………..
    Email: [email protected] | Website:……………………….
    NG-CDF
    BURSARY APPLICATION FORM - FY 2020/ 2021

    READ THE GUIDELINES CAREFULLY BEFORE FILLING THIS APPLICATION

    INSRUCTIONS: -

    1. This form is given free of charge by the GILGIL CONSTITUENCY DEVELOPMENT FUND.
    2. Applicant MUST be a confide resident of GILGIL CONSTITUENCY.
    3. This form must be filled neatly, carefully and accurately. Use CAPITAL LETTERS only, incomplete form
    will not be considered.
    4. All documents required must be provided by the applicant. Application without photocopies of the
    following documents shall be rejected;
    o Passport/National and Institution ID (for college/university).
    o Admission letter indicating Admission Number (for new students).
    o Academic certificate/Latest report form/transcript of score/KCPE/KCSE.
    o Death certificate (where applicable).
    o Guardians / parents / National ID / Voters card
    o Fees structure
    o NCPWD Card or assessment Report from medical Assessment Board or persons
    living with disability
    5. Making of false statement, forgery or using of illegal stamps on this form will lead to automatic
    disqualification and prosecution in a court of law.
    6. The completion and submission of this form is not a guarantee for bursary award. Only suitable,
    qualified and deserving applicants will be considered. The CDFC Decision shall be final.

    1. STUDENT’S PERSONAL INFORMATION. (MANDATORY)

    Name: ----------------------------------------------------------------------------------------------------------------

    (First) (Middle) (Last)

    Mobile no: ----------------------------- Admission No: ---------------------------Passport/ID No: ------------------------

    County: -----------------------------Constituency: -----------------------------------Ward--------------------------------------

    Physical Address (Residence)--------------------------------------------------------------------------------


    NG – CDF –FY 2019/2020 –Bursary Form Serial No.

    (Where you live) (Estate/village)

    Date of birth DD/MM/YYYY:--------/------/-------Gender: Male ------- Female--------

    MORE INFORMATION (Only for college, university students)

    Institution…………………………Campus………………………………. Branch………………………………….

    Town………………………………. Mobile…………………………………

    Course of study: ----------------------

    Are you a Regular student---------parallel student------------privately sponsored? ------

    2. PARENT’S/GUARDIAN’S INFORMATION.

    Name:--------------------------------------------------------------------------------------------------------

    (First) (Middle) (Last)

    Age-------- Mobile No:--------------------------------------------- ID No-----------------------------

    Occupation (position of employer):-------------------------------------------------------------------

    Source of Income:-------------------------------------------------------------------Total Monthly Income (Ksh):---------------

    2. SCHOOL INFORMATION.

    (i) Previous school (form1 and college / university year 1 students only)

    Postal Address: -------------------------------------------------------------------Mobile: ---------------------------------------------

    Date of joining: --------------------------------------------------------------------Date of Leaving: -------------------------------------

    Did you graduate? Yes- No Final Results: --------------------------------------

    Grade/Certificate/Degree

    (ii) Current School

    Name of current school: -------------------------------------------------------------------

    Postal Address: -------------------------------------Mobile: --------------------------------

    Class/Form/Year: -------------------------------------Faculty: -----------------------------

    Date of Joining: ---------------------------------Date of Completion: ---------------

    How Has Your Education Being Financed to Date? -----------------------------------------


    NG – CDF –FY 2019/2020 –Bursary Form Serial No.

    (iii) HEAD TEACHERS / PRINCIPLES / DEANS RECOMMENDATION.

    I certify that the above information is correct and I recommend for assistance.

    The fee balance for the student is ksh…………………………

    (iv) School bank details

    School’s Account Name: --------------------------------------------Bank Name: --------------

    Branch: ------------------------Account No: --------------------------------------

    School mobile no…………………………

    3. DECLARATION (by Student/Guardian / Parent)

    I solemnly declare that the information provided in this form is accurate and complete to the best of
    my knowledge and my signature attest to it.

    Full Name: -----------------------------------------------------------Signature: ----------------

    (First) (Second) (Last)

    4. REFEREE’S RECOMMENDATION (Area Chief /Religious Leader)

    (Tick appropriately about the applicant)

    Both Parents Alive Yes No Single Parent? Yes, No

    Any Disability? Yes, No Orphan Yes No

    Briefly comment on the status of the family /parent / guardian and level of need of the applicant.

    ------------------------------------------------------------------------------------------------------------------------------------------------------
    ------------------------------------------------------------------------------------------------------------------------------------------------------
    ------------------------------------------------------------------------------------------------------------------------------------------------

    Name & Title------------------------------------------------------------------------------------------------------------------------

    Date: ----------------------------------------------Signature: ------------------------------Stamp:

    FOR CDF OFFICIAL RECEIVING THE FOAM


    NG – CDF –FY 2019/2020 –Bursary Form Serial No.

    Received by: -----------------------------------------------------Date: ------------------------------Signature--------------

    FOR OFFICIAL USE OF CDF COMMITTEE.

    Remarks / General comments about the students:

    ……………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………………………………
    ……………………………………………………………………………………………..

    Ksh.

    Approved Disapproved Amount Awarded

    If Not approved give reason:

    ------------------------------------------------------------------------------------------------------------------------------------------------------
    ------------------------------------------------------------------------------------------------------------------------------------------------------
    ------------------------------------------------------------------------------------------------------------

    1. Checked by………………………………………..Date:……………………Signature……………….

    2. Confirmed by………………………………………Date…………………. Signature……………….

    3. Approved by: ………………………………………. Date: …………………. Signature……………….

    OFFICIAL STAMP:

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