Use this form to start the process of applying for a place at Pax Junior School Kira. We will get in touch to arrange a tour or a chat with the headteacher. Please enable JavaScript in your browser to complete this form. - Step 1 of 4Date / Time *Enter DateChild's Names *Gender *MaleFemaleClass of admission *Former School (If any) *Date of Birth *Enter DatePlace of birth *Nationality *Religion *7. State any special illness of the child which staff should know *8. State any allergies the child suffers from *9. State any drugs your child is allergic to *10. State any food the child is not allowed to eat *11. State any information about this child which you believe the school administration should be aware of *12. Attach the following: * Click or drag files to this area to upload. You can upload up to 5 files. a) passport size photo b) birth certificate copy c) immunization certificate copy d) latest academic report card e) sketch map to guide the school to child’s home NextPart B (Parents’ Information)1. a) Father’s full name *b) Occupation *c) Place of work *Father's Mobile 1 *Father's Mobile 2 (WhatsApp) *2. a) Mother’s full name *b) Occupation *c) Place of work *Mother's Mobile 1 *Mother's Mobile 2 (WhatsApp) *3. a) Guardian’s full name (where applicable) *3. a) Guardian’s occupation *c) Guardian’s Place of work * Guardian’s Telephone * Guardian’s Mobile *4. Residential address – District, Sub-county/Town council / Division, Local Council 1 and zone *5. Mode of child’s travel to and from school – select appropriate *i) Personal means ii) School van 6. a) Child’s next of kin (contact in case of emergency) * b) Next of Kin's Place of work *Next of Kin's Phone *NextPart C [optional services - tick what is applicable to your child]a) Transport services *MorningEveningMorning & eveningNot applicableSwimming *YesNoNursery Pupils *Half dayFull dayN/A for Primary sectionNextDeclaration *I declare that all the information given on this application form is correct to the best of my knowledge. I promise to abide by the rules and regulations governing this school – Copy provided at schoolForm submitted by; *Name of the person filling and submitting this form.Submit