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Student Application Form

The document is a Student-Athlete Application Form that collects personal and residence information from applicants. It includes sections for personal data, contact information for guardians, and emergency contacts. Applicants must specify the sports discipline they are applying for and their preferred model of participation.

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anigaelnganga
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3 views1 page

Student Application Form

The document is a Student-Athlete Application Form that collects personal and residence information from applicants. It includes sections for personal data, contact information for guardians, and emergency contacts. Applicants must specify the sports discipline they are applying for and their preferred model of participation.

Uploaded by

anigaelnganga
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
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STUDENT-ATHLETE APPLICATION FORM (Please fill up this form completely)

Application for Admission


Date of Application: ________ Period of joining: __________ ID/Passport/Birth Certificate Number: _______
Sports Discipline applying for: _______________________________________________________
Models (tick appropriately): Hybrid In-School Out-of-School Sports Camp High-Performance
Personal Data
Last Name: First Name: Middle Name:
__________________________ _________________________ _________________________
Date of Birth (dd/mm/yyyy) ____________ Gender: _____ Place of Birth: ____________
Nationality: ______________ Religion: ________________ Marital Status: ____________
Disability (if any): ______________________________
Residence Information
Athlete Permanent Physical Address: ______________________________________________________________________________________
Ward: ____________ Sub-County: _________________ County: __________ Country/City: _________
Postal Address: ________________________ Code: __________ Phone No.: ____________
Email Address: ____________________________________________________

Contact Person/Guardian Name: _____________________________ Relation: _______________


Ward: ____________ Sub-County: _________________ County: __________ Country/City: _________
Postal Address: ________________________ Code: __________ Phone No.: ____________

Emergency Contract/Next of Kin Address (if not same as above)


Contact Person/Guardian Name: _____________________________ Relation: _______________
Ward: ____________ Sub-County: _________________ County: __________ Country/City: _______________________
Postal Address: ________________________ Code: __________ Phone No.: ___________________

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