Apply for Bursary

Name *

First

Last

Date of Birth *

Address (County, Sub-County, and Ward) *

Gender *

Are you living with disability? *

Parents'/Guardian Name *

First

Last

Parents'/Guardians Address *

Parents'/Guardians Phone Number *

Parents'/ Guardians Occupation

Parents'/ Guardians Monthly Income in Ksh

Number Dependants below 18 years

Selected Value: 0

School Name

Admission Number

School Address

School Email *

School Cellphone Number

Annual School Fees

Are Number Name

Applicant's fees arrears

Applicant's Certification

I hereby certify that all information submitted on this application is true and accurate to the best of my knowledge. By submitting this application, I authorze my school to make available to Mwamili Foundation information concerning my academic records. I also understand the application will be evaluated in a completely free and fair manner.
I do not certify.

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