Appendix I

REPUBLIC OF KENYA MINISTRY OF EDUCATION

APPLICATION FOR REGISTRATION OF EDUCATIONAL AND TRAINING

INSTITUTION (TO BE FILLED IN TRIPLICATE)

Part 1

i. Proposed/Legal Name of Institution

____________________________________________

Address of Institution ________________Code _______________

Town/City________________

Telephone _______________________________________________________________

E-
Mail__________________________________________________________________

Location of Proposed Institution

Region ___________________County _________________________________________

Sub-County_______________________

Ward _______________________

Location_______________________ Sub-Location _________________________________

ii. Category/Level of Institution; (Tick as appropriate)

Type/Level Tick
Pre-primary

Primary regular

Primary integrated

Primary special needs

Type/Level Tick

Secondary regular

Secondary integrated

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 Secondary special needs

College

DECE

DPTE

DSTE

ACE

iii. Type of Institution

Type of Institution Tick

Day
Boarding
Day and Boarding
Boys
Girls
Mixed
Public
Private
Integrated
Special

1. Sponsor(where applicable )
__________________________________________________________________

2. Name of Proprietor (for private institutions)

__________________________________________________________________

3. Management (BOM/)
__________________________________________________________________

4. Address of:
a) Sponsor
_________________________________________________________

Telephone no________________________________
b) Proprietor (for private
institutions)______________________________________

Telephone no________________________________

5. Curriculum to be offered (CBC/8-4-4/IGCE/IB etc.)

_________________________

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 a) Classes/grade to be catered for
___________________________________________

b) Number of streams per Class/Grade

______________________________________

c) Indicate curriculum preparation in place for persons with special needs.

_______________________________________________________________

6. Proposed Maximum number of learners to be enrolled

________________________

NB: The enrolment to be approved by the Ministry

7. Nature of buildings:

(i) Temporary__________________________________________________

(ii) Semi-permanent
______________________________________________

(iii) Permanent
____________________________________________________

NB: For temporary and semi-permanent structures, the floor must be cemented, walls must
timber or iron sheets, if mud, the walls must be cemented.

8. In case of Re-Registration of existing Institution:-

1. Existing Registration Number

___________________________________________

2. Reasons for Re-registration

___________________________________________

3. Learner Enrolment
____________________________________________

9. Declaration by the Applicant:

I hereby declare that I have read the Education Standards Requirements for Registration
of Education and Training Institutions, Ministry of Education and the Institution will be
Conducted in accordance with its provisions, and that of the Basic Education Act 2013

Signed ___________________________________________________________
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 Full Name ______________________________ ID No/Passport No____________________

Applicant (proprietor/headteacher)
___________________________________________________________

Date: ____________________________ Official stamp____________________________

PART II

16. To be completed by the Sub-County Director/ of Education after making necessary

considerations.

RECOMMENDED/NOT RECOMMENDED (if not recommended, give reasons)

Full Name: ___________________________________ Official Stamp _________________

Date ________________________________________ Signed ________________________

PART III

To be completed by the Secretary, County Education Board

Date of the meeting when application was discussed

……………………………………………

Approved / Not Approved

Minute Number
…………………………………………………………………………………

Date ……………………………………….. Signed …………………………………………

Secretary, County Education Board

Officials Stamp

Appendix II
4
 REPUBLIC OF KENYA

MINISTRY OF EDUCATION

APPLICATION FOR APPROVAL AS MANAGER OF PRIVATE EDUCATIONAL

INSTITUTION

(In Accordance with the Basic Education Act 2013, this form shall be completed in triplicate
by the applicant and forwarded to the County Director of Education/Sub-County Director of
Education.)

Part 1

1. Name________________________________________TSC NUMBER
_______________

Identity/Passport No.
__________________________________________________________

Address (Postal) ______________Code_______________Town/City

___________________

E-mail ____________________________________Telephone________________________

2. Relevant qualifications and experience

(i) Academic Qualifications (ECDE, Primary, Secondary)

YEARS ATTENDED
NAME OF CERTIFICATE/
INSTITUTION FROM TO LEVEL ATTAINED

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 (ii) Professional Qualifications (College and University)
YEARS ATTENDED
NAME OF QUALIFICATION
INSTITUTION FROM TO ATTAINED

(iii) Work Experience

PERIOD
NAME OF POSITION HELD
INSTITUTION FROM TO

3. Location of Institution:-

Region __________________________ County ________________________________

Sub-County ___________________________ Ward _____________________________

Location ___________________________ Sub/Location _________________________

a. Type of Institution (Pre-Primary/Primary/Secondary/College/, if any other specify)

____________________________________________________________________

b. Curriculum offered
__________________________________________________________

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4. Name and addresses of two referees (one of whom is an educationist):
Name: _____________________________ Designation: _____________________
Address: ___________________________ Telephone: _______________________
E-mail: _______________________________________________

Name: _____________________________
Designation:_______________________
Address: ___________________________ Telephone:
_______________________
E-mail:_______________________________________________

The applicant is required to comply with the requirements of Chapter Six of The Constitution
of Kenya (2010) and provide the relevant documents:

i. Valid certificate of good conduct

ii. Valid Tax compliance certificate
iii. Valid Credit Reference Bureau certificate
iv. HELB Certificate where applicable

Declaration by the Applicant:

I hereby declare that I have read the Education Standards Requirements for
Registration of Education and Training Institutions, Ministry of Education and the
Institution will be conducted in accordance with its provisions, and that of the Basic
Education Act 2013.

I have attached the following documents regarding my qualifications, experience etc.

(a) Certified Photocopies of my original certificates (Refer to No. 2 i, ii, and iii) (b)
Any other relevant documents (list them)

PART II

To be completed by the Sub-County Director of Education/ after making necessary

considerations.

RECOMMENDED / NOT RECOMMENDED (if not recommended, give reasons)

Full Name: ________________________________ Official Stamp ____________________

Date_______________________________________ Signed _________________________

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PART III
To be completed by the Secretary, County Education Board

Date of the meeting when application was discussed

……………………………………………

Approved / Not Approved

Minute Number
…………………………………………………………………………………

Date ……………………………………….. Signed …………………………………………

Secretary, County Education Board

Officials Stamp