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FORM A
NYANDO CONSTITUENCY
TERTIARY INSTITUTION BURSARY ALLOCATION FORMS
Ahero Bible Training Centre P.O Box 85 Ahero, Kenya
Next to Ahero Magistrate court Tel 020-233450
Ahero, Kenya www.cdf.go.ke
Page 1 © 2017
PART B: FAMILY INFORMATION
PART D: DECLARATION
1. Student Declaration
I declare that I have read this form and I hereby confirm that the information given herein is true to
the best of my knowledge.
Name: ……………………………………………….... Signature:…………………… Date:……………..
Page 1 © 2017
2. Chief/ Sub- Chief/Religious Leader
In your opinion, how needy is the applicant?
Comment:……………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………
I confirm that the information given herein is correct to the best of my knowledge and belief.
Location: ……………………………….. Sub- location: Official Stamp:………….……………………….
Name of Chief/Religious leader:…………………………….……………..Signature:……………………..
3. Institution Verification
Student’s conduct: Excellent V.Good Good Fair Poor
Institutional Bank Account
Name:…………………………………………………………………………………….…………………….
(NOTE that no Bursary will be awarded without the correct College’s Bank account name and
official address.)
I confirm that the applicant is known to me by the names and is a registered student in this college
and that the personal details and information on collage fees are true to the best of my knowledge and
belief.
Dean of Students (Name):………………………………………………..….Signature:………..………….
Official Stamp:…………………………………..…………………….