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Declaration Form

Secondary Schools KSSSA declaration form

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Baba Junior
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3K views

Declaration Form

Secondary Schools KSSSA declaration form

Uploaded by

Baba Junior
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MINISTRY OF EDUCATION

STATE DEPARTMENT OF EARLY LEARING &BASIC EDUCATION


Directorate of Field Coordination and Co-Curricular Activities

The Kenya Secondary Schools Sports Association

OFFICIAL TEAM LIST/DECLARATION FORM

Year: ……………………………. Games:Term I/II …………

Team: ……………………………… BOYS/GIRLS:……………………… No: …………………………..


School: ……………………………………………………. Sub – County: …………………………………..
County: …………………………………………………… Region: ………………………………………………

The following whose details are given here – under are bona fide students of this school
NO. FULL NAMES ADMISSION D.O.B KCPE INDEX KCPE UPI
CLASS D.O.A ADM NO. YEAR NUMBER
NO
1 CHALTON OKOTH 3C 10/05/2022 16412 25/04/2006 39701020029 2020

2 LECKY OKUMU 3M 10/05/2022 16422 5/09/2007 41724228006 2021

3 SHELDON OCHIENG 3G 10/05/2022 15350 28/04/2006 44739133022 2021

4 RICHARD ROY 2I 12/02/2023 16396 17/7/2007 41709230060 2022

5 PHILIP WASONGA 4Y 9/12/2004 14737 9/12/2004 2020

6 NAVY HESTONE JOHN 2Y 10/02/2023 16470 12/06/2006 31557362005 2022

7 HENRY RECARDO 2Y 10/02/2023 16463 3/09/2004 41730129031 2020

8 STEVE OTIENO 1M 17/01/2024 17295 24/02/2006 41704202010 2020

9 CEDRIC JAMES 1M 16/01/2024 02/04/2008 39734049028 2023

10 FAHBISH OCHIENG 4R 08/04/2021 16/05/2005

11 ROONEY REMY 3B 12

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DECLARATION

I, the principal of the above named School hereby solemnly declare that the information provided and in any other related
documents on my School team bearing my signature and School stamp is correct.

COACH/GAMES PRINCIPAL SUB COUNTY COUNTY REGIONAL


TEACHER DIRECTOR OF DIRECTOR OF COORDINATOR OF
EDUCATION EDUCATION EDUCATION

NAME NAME NAME NAME NAME

TSC NO TSC NO P/NO P/NO P/NO

SIGN SIGN SIGN SIGN SIGN

DATE DATE DATE DATE DATE

STAMP STAMP STAMP STAMP STAMP

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