ST. PETER'S APPLICATION FORM

Full Name:

Date of Birth

Gender

Any Disability / Healthy Isuue?

Please Select Disability type / Healthy issue

Are you on medication?

Medication Type

Primary Seven Aggregates

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Previous School

Previous School District

Class Applying For

Combination

Section to Attend

Email Adress / Phone Number

Residence (District)

Subcounty

Village

Parent/Guardian Name

Parent/Guardian Relationship

Parent / Guardin Contact

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