Leaving Certificate Form

REPUBLIC OF KENYA MINISTRY OF EDUCATION, SCIENCE AND TECHNOLOGY

KENYA PRIMARY SCHOOL LEAVING CERTIFICATE THIS IS TO CERTIFY THAT …………………………………………….….… ADM. NO.: …… DATE OF BIRTH ………………………… ENTERED ………………………………………...... SCHOOL AND WAS ENROLLED ON ………………………IN STANDARD ………...... ….... AND LEFT ON ……………………………. AT STANDARD ………………………………….. HAVING SATISFACTORILY COMPLETED THE APPROVED COURSE FOR STANDARD ………..

HEADTEACHER’S REPORT ON THE PUPIL’S ACADEMIC ABILITY ……………………... ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… PUPIL’S CONDUCT ……………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… PUPIL’S PARTICIPATION IN CO-CURRICULAR ACTIVITIES ……………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… PUPIL’S SIGNATURE ………………………. HEADTEACHER’S NAME …………………… …………………………………………………….. HEADTEACHER’S SIGNATURE..………………. DATE OF ISSUE …………………………

……………………………………………… OFFICIAL SCHOOL RUBBER STAMP THIS CERTIFICATE WAS ISSUED WITHOUT ANY ERASURE OR ALTERATION WHATSOEVER GPK (L)

ED/B 100 (Rev.)

REPUBLIC OF KENYA MINISTRY OF EDUCATION

KENYA SECONDARY SCHOOL LEAVING CERTIFICATE MADOGO SECONDARY SCHOOL P.O BOX 1089, GARISSA

3758

Admission/Serial No.

ALI HUSSEIN

This is to certify that Entered this school on

01/10/2012

THREE Form Course for Form

and was enrolled in Form and left on

FOUR

15/11/2013

from

having satisfactorily completed the approved

FOUR. 1992.

Date of Birth (in admission register)

Headteacher’s report on the pupil’s ability, industry, and conduct An average student in class, well behaved and active in co-curricular activities. He is a team leader and can be trusted with responsibility.

Pupil’s signature ………………………. ………. Date of issue 12/08/2014

Signature Headteacher THIS CERTIFICATE WAS ISSUED WITHOUT ANY ERASURE OR ALTERATION WHATSOEVER GPK (L)