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    NGAAF Bursary Application Form New 2023-2024

    Uploaded by

    Elvis Kemboi
    This 3 page document appears to be an application form for county bursary and scholarship funds in Elgeyo Marakwet County, Kenya. [1] It requests personal details of the applicant such as name, date of birth, school and family financial information. [2] It also asks the applicant to provide their current status such as orphan, disabled or single parent and explain why they are seeking the bursary funds. [3] Local administrators are to verify the applicant's personal status and fees details before the application is submitted to the county level for approval.

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

    NGAAF Bursary Application Form New 2023-2024

    Uploaded by

    Elvis Kemboi
    1K views3 pages
    This 3 page document appears to be an application form for county bursary and scholarship funds in Elgeyo Marakwet County, Kenya. [1] It requests personal details of the applicant such as name, date of birth, school and family financial information. [2] It also asks the applicant to provide their current status such as orphan, disabled or single parent and explain why they are seeking the bursary funds. [3] Local administrators are to verify the applicant's personal status and fees details before the application is submitted to the county level for approval.

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    Bursary

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    This 3 page document appears to be an application form for county bursary and scholarship funds in Elgeyo Marakwet County, Kenya. [1] It requests personal details of the applicant such as name, date of birth, school and family financial information. [2] It also asks the applicant to provide their current status such as orphan, disabled or single parent and explain why they are seeking the bursary funds. [3] Local administrators are to verify the applicant's personal status and fees details before the application is submitted to the county level for approval.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views3 pages

    NGAAF Bursary Application Form New 2023-2024

    Uploaded by

    Elvis Kemboi
    This 3 page document appears to be an application form for county bursary and scholarship funds in Elgeyo Marakwet County, Kenya. [1] It requests personal details of the applicant such as name, date of birth, school and family financial information. [2] It also asks the applicant to provide their current status such as orphan, disabled or single parent and explain why they are seeking the bursary funds. [3] Local administrators are to verify the applicant's personal status and fees details before the application is submitted to the county level for approval.

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    Empowering for Self-Reliance

    NATIONAL GOVERNMENT AFFIRMATIVE ACTION FUND


    ELGEYO MARAKWET COUNTY
    COUNTY BURSARY AND SCHOLARSHIPS APPLICATION FORM
    1. DETAILS OF LOCALITY

    NAME OF COUNTY …………………………………..…………………………………………….. COUNTY CODE………….

    SUB-COUNTY / CONSTITUENCY……………………………………………………………………………………………

    WARD ………………………………………………………………………………

    LOCATION……………………………………………………………… SUB LOCATION…………………………………………………


    VILLAGE: ………………………………………………………………………….

    2. PERSONAL AND SCHOOL DETAILS

    NAME OF STUDENT: ……………………………………………………………………………………………………………………………

    DATE OF BIRTH………………………………………………………………………………………………….

    GENDER…………………………………… ETHNICITY……………………………………………………..

    PERSON WITH DISABILITY (PWD)-(Please Indicate- YES/NO)…………………………….

    NAME OF SCHOOL/INSTITUTION: ………………………………………………………………………………………………………

    YEAR OF STUDY………………………… FORM/CLASS……………………ADMIN NO…………………………………………..

    3. WHERE APPLICABLE, INDICATE:

    NAME OF FATHER: ……………………………………………………………………………………………

    CURRENT OCCUPATION ……………………………………………………………………………………

    NAME OF MOTHER……………………………………………………………………………………………

    CURRENT OCCUPATION……………………………………………………………………………………

    GUARDIAN…………………………………………. …………………………………………………………..

    FAMILY INCOME LEVEL (MONTHLY IN, KSH) …………………………………………………...

    CONTACT PERSON MOBILE NO ………………………………………………….and ID.NO………………………………………….

    Page 1 of 3
    DATE OF APPLICATION…………………………………………………………………………………

    4. PERSONAL STATUS

    (APPLICANT TO TICK ONE)

    ORPHAN & NOT SUPPORTED BY EXTENDED FAMILY ………………………………

    ORPHAN BUT SUPPORTED BY FAMILY/SPONSOR ……………………………………

    PERSONS WITH DISABILITY (PWDS)………………………………………………………..

    SINGLE PARENT FAMILY ………………………………………………………………………….

    OTHER STATUS (PLEASE EXPLAIN)


    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………

    NOTE: PLEASE PROVIDE SUCH EVIDENCE (RELEVANT CERTIFICATES /LETTERS FROM LOCAL CHIEF, E.T.C)
    AS MAY BE APPROPRIATE AND WHERE APPLICABLE TO SUPPORT YOUR STATUS.

    5. PERSONAL STATEMENT

    (NOTE: LEARNER TO EXPLAIN WHY BURSARY IS SOUGHT)

    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………………………………

    DECLARATION OF FINANCIAL SUPPORT FROM OTHER SOURCES (E.G- CDF, COUNTY GOVT, HELB, E.T.C)

    SOURCE: ………………………………………………………….. YEAR: ………….... … AMOUNT: ……….…………….

    SOURCE: ………………………………………………….......... YEAR: ……………….. AMOUNT: ………..……………

    SOURCE: …………………………………………………….…… YEAR: ………..……… AMOUNT: ……….…………….

    CURRENT FEE BALANCE …………………………………………..

    AMOUNT REQUESTED FOR…………………………………………

    NOTE: IT IS MANDATORY TO ATTACH FEES STATEMENT/STRUCTURE – STAMPED AND SIGNED BY THE


    SCHOOL

    IN THE CASE OF NEW ENTRANT, ATTACH ADMISSION LETTER

    Page 2 of 3
    6. CONFIRMATION OF FEES AND PERSONAL STATUS

    LOCAL ADMINISTRATOR (ASSISTANT CHIEF/CHIEF) TO VERIFY AND CONFIRM

    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………………

    NAME OF OFFICER…………………………………………………………………………………………………………….

    SIGNATURE……………………………………………………………...

    STAMP AND DATE……………………………………………………

    Mobile NO: ……………………………………………………………..

    7. OFFICIAL USE COUNTY LEVEL:

     COUNTY CHAIRPERSON……………………………………………………………………………………………………….

    SIGNATURE………………………………………… DATE…………………..…………………..

     COUNTY COORDINATOR (SECRETARY)………………………………………………………………………………

    SIGNATURE…………………………………….. DATE…………………..……………………..

    Page 3 of 3

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