YEAR: 2023

DEAR RANDY OYANGO

I am pleased to inform you that you have been selected to join form one in our school,
Congratulations. You are expected to report on 30TH January 2023
Note: You are expected to report to your secondary school on 6th Feb,2023

Please get your Primary School’s Head teacher to endorse the letter in the spaces provided
below.

Student’s Full Name: RANDY OYANGO, INDEX NO 37603108005 Marks 365 SUB-COUNTY
37603

Primary School: ________________________________________________________________________________________

Head teacher’s Full Name: ____________________________________________________________________________

Head teacher’s Signature: __________________________________ Date: ___________________________________

Student’s Signature: _____________________________________ Date: ____________________________________

Disclaimer: This letter will be authenticated on being duly certified by the primary school head
complete with a certified copy of birth certificate and finally confirmed by the admitting principal.
The letter is issued without any erasure or alteration and cannot be changed through any form of
endorsement whatsoever; utterance of false documents is an offence punishable by law.
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ADMISSION FORM FOR NEW STUDENTS

DATE OF ADMISSION —----------/ 2023

A. STUDENT’S PARTICULARS:
1. Admission Number : _______________________________________________________________
2. Full Name _______________________________________________________________________
3. Date of birth _____________________________________________________________________
4. Religion ________________________________________________________________________
5. Nationality ______________________________________________________________________
6. Class joined _____________________________________________________________________
7. Previous school
___________________________________________________________________
8. Permanent Home address ___________________________________________________________
9. Place of permanent residence ________________________________________________________
10. Name of assistant chief ___________________________________________________________
Sub location ________________________________ Location __________________________
District__________________________________ County _____________________________
11. Primary School Attended: ________________________________________________________
12. KCPE/Index Number _____________________________________________________________
13. KCPE PERFORMANCE: MARKS GRADE
ENGLISH __________________ _____________
KISWAHILI __________________ _____________
MATHEMATICS __________________ _____________
SCIENCE __________________ _____________
SS & CRE __________________ _____________
14. Total Marks obtained in KCPE
______________________________________________________
15. Responsibilities in previous school (e.g. captain, prefect etc). ______________________________

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16. a) Hobbies
______________________________________________________________________
b) Ambition ____________________________________________________________

B. PARENT PARTICULARS

17. Father’s full names ______________________________________________ Alive/Deceased.

Occupation of father _____________________________________________
Address P.O. Box ______________________________________________
Phone number ___________________________________________________
18. Mother’s full name: ________________________________________________ Alive/Deceased
Occupation of mother: _______________________________________________
Address P.O. Box ___________________________________________________
Phone Number ______________________________________________________
19. Number of siblings learning in secondary schools/colleges/University. ____________________
20. Total number of siblings. __________________________________________________________
C. FEES RESPONSIBILITY/SUPPORT:
21. Name of person to pay fees ___________________________________________________.
22. His/her relationship to student ____________________ Phone Number _______________.
23. His/Her signature to certify that he/she will pay fees and educational requirements:

Signature: __________________
D. HEALTH DETAILS:
24. Have you ever been admitted at hospital for any illness? ___________________ Yes/No.
For how long? __________________ When was this? ___________________________
Do you have any illness that affects you now and again? _____________Yes/No.
Name the illness where and how do you treat it?
________________________________________________________________________
__________________________________________________________________________

25. Do you have any disability? Yes/No ___________. If Yes, which One _____________________
26. How was it caused? ______________________________________________________________

E: SCHOOL RULES
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ALL STUDENTS ADMITTED TO THIS SCHOOL MUST OBSERVE THE FOLLOWING

RULES KEENLY:
TIME MANAGEMENT: Punctuality should be observed at all times during:
assemblies/parades/mass/lessons/games/clubs/societies/meals/exams/reporting back to school
etc
CLEANLINESS: All students should maintain high standards of personal hygiene/good
grooming. All students will wear official and decent school uniform at all times. It is
compulsory to wear P.E uniforms during P.E lessons and Games time. Students shall participate
in keeping the school environment clean.
LESSON ATTENDANCE AND EXAMINATIONS: Class attendance and all examinations
are compulsory to all students. Cheating in the examinations in whatever form is prohibited.
DEVIANT BEHAVIOUR: All deviant, anti-Christian behaviour is prohibited. Deviant
behaviour shall constitute: drug abuse,alcoholism, fighting, bullying, sneaking, truancy,
hawking, vernacular speaking, noise making, ponorgraphy, absenteeism, rumour mongering,
incitement, defiance etc.
5. SCHOOL PROPERTY: Every student will take responsibility of the desk and chair assigned
to them. Students must employ great care at all times whenever they are using school equipment,
and school buildings.
6. RELATIONSHIPS: Students should accord teachers and non-teaching staff respect at all times.
Intimate relationships are prohibited. Homosexuality, Sodomy and any such behaviour is
prohibited.
7. MODE OF COMMUNICATION: Students shall use either English or Kiswahili for the
purpose of communication at all times. Cell phones, sim-cards, computer disks, CDs, radios,
memory cards and other electronics are prohibited in school. Contacts between students and
parents/guardians shall be through class teachers. The computer room shall be strictly for
responsible academic use.
8. MEALS: All school meals are compulsory and should be taken from the dining hall using
specified accepted clean cutlery. No special special diet is provided in the school. Cooked
food/food from strangers is not allowed in school.

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9. SICKNESS/EMERGENCY: Minor cases will be handled on a first aid basis within the school.
The school shall not meet the cost of any case requiring the attention of a health/practitioner/doctor.
Any case of sickness emergency must be reported to the school administration immediately it is
noticed.
10. OUTING REGULATIONS: All students out on school activities shall remain disciplined.
Such students shall take and comply with instructions given by the teacher/member of staff.
F: DECLARATION BY STUDENT
Having read the school rules, I accept the chance offered to me at BUTERE BOYS’ HIGH
SCHOOL in Form one and pledge to obey these rules, the staff and the Principal after my
admission, failure to which I could be excluded from school.
Signature of Student: _____________ Date:___________________
G: DECLARATION BY PARENT
I, the Parent/Guardian of the above named student who is seeking admission at BUTERE
BOYS’ HIGH SCHOOL, agree/accept and allow the school authorities to punish, suspend
or expel my son if he goes against what the school has laid down for him to follow.
Parent/Guardian Signature: ________________ Date:____________________________
FULL NAMES:
_____________________________________________________________

FOR OFFICIAL USE ONLY:

I, the Principal of Butere Boys’ High School, on behalf of the Board of Management hereby admit
____________________________________ in Form One on this _________________ under the
express pledge as read and signed by both the parent and the student.
I wish you success in all your academic endeavours. Thanking you in advance.
Yours faithfully

PRINCIPAL/SECRETARY BOARD OF MANAGEMENT (BOM)

NECESSITIES:
The following will be required by every student joining the school for the first time:

A. ADMISSION REQUIREMENTS
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1. A copy of the Birth Certificate .

2. A copy of the Result slip.

3. A copy of the school Leaving Certificate.

4. Two coloured passport size photographs of the student signed and stamped at the back by the former

Headteacher.

5. A completed medical report form from a Government Doctor.

6. Fees required for admission as per the fee structure.

7. Enough pocket money to be deposited at the Accounts office.

8. School identity card (ID) Ksh. 200/= .

9. Liturgy for schools (ACK) - available in school @ Ksh 400/=

10. Hymn Book ( Golden bells) - Available in school @ Ksh 450/=

B. ACADEMIC REQUIREMENTS

1. A Bib

2) Geometric set

C. UNIFORM REQUIREMENTS

1. Black school shoes (From Bata)

2. A pair of Rubber shoes from Bata (white/black)

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 3. Uniform will be issued at school upon payment of KShs.10,100/= in cash.

Uniform will include:

a) Two New Shirts with embroidered school badge.

b) School socks (Maroon/Yellow strips) 2 pairs
c) Two New Long Trousers (Black).
d) A Maroon Jersey/sweater.
e) Maroon Windbreaker.
f) Two maroon school Neck ties with a badge.
g) One games shorts and T-shirt.
h) Weekend T-Shirt
i) Bedcover and 2 Bed sheets

4. An OPTIONAL school jumper will be available upon payment of Ksh. 2,500/= .

D. BOARDING REQUIREMENTS:

1. Two Blankets.

2. One Basin

3. One bucket.

4 One pyjama.

5. 5 pairs of new under pants.

6. One pair of slippers (from Bata).

7. One towel and one face towel.

8. Hair comb/scratch.

9. Toothbrush and toothpaste.

10. Shoe polish and Shoe brush

11. Four pieces of bathing soap.

12. Two bars of washing soap and 1 kg of powder soap.

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13. 6 rolls of tissue paper.

14. Two medium sized padlocks.

15. A lockable metal box/trunk.

16. The following can be obtained in school at a cost of Ksh. 3,500/=. They include:

a) Blue mattress (4” Tuff foam)

b) Mosquito net (Blue)

c) Spoon/cup/plate

d) Branding will be done in school at a cost of Khs. 500/= to be deposited at the

accounts office during admission.

N/B: Kindly make the necessary arrangements concerning the above requirements.

BUTERE BOYS’ HIGH SCHOOL

MEDICAL EXAMINATION FORM

This form should be filled by a Medical Doctor in a Government Hospital.

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1. Name: ………………………………………………Age: ………...Sex: …………………

2. Height: …………………………………………………….. Weight: …………………….

3. Visual Acuity: ……………………………………………………………………………..

4. Teeth: ………………………………………………………………………………………

5. Ear, Nose and Throat: …………………………………………………………………….

6. Cardiovascular system examination………………………………………………………

……………………………………………………………………………………………………………
…………………………………………………………………………………

7. Respiratory system examination……………………………………………………………

………………………………………………………………………………………………

8. Blood group………………………………………………………………………………...

9. Urine……………………………………………………………………………………….

10. Stool………………………………………………………………………………………..

11. Doctor’s General comments……………………………………………………………….

……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
DOCTOR’S NAME: ……………………………………………………………………………….

SIGNATURE: …………………………………………… DATE: ……………………...............

STAMP: …………………………

BUTERE BOYS’ HIGH SCHOOL

FEES STRUCTURE – FORM ONE 2023

Vote head GOK PARENT Grand Total

(Ksh)
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TERM 1 TERM 2 TERM 3 TOTAL

Teaching, Learning materials and 4,144 0 0 0 0 4,144.00

Exams

Boarding Equipment and Stores 0 12,692 6,7,615 5,078 25,385.00 25,385.00

Maintenance and Improvement 5,000 1000 1,000 0.00 2,000.00 7,000.00

*Other vote heads- 9,400 6,450 3,870 2,580 11,670 22,300.00

(Local Transport and Travel, Administrative

Costs, Electricity, Water and Conservancy,
Personnel Emolument)

Activity fees 1,500 125 75 50 250 1,750.00

Medical and Insurance 2,000 0 0 0 0 2,000.00

SMASSE 200 0 0 0 200.00

Total school fees 22,244 20,267 12,560 7,708 40,535 62,779.00

N/B: ALL fees to be paid through any KCB (Kenya Commercial Bank) branch to the school Account Number 1101687177 K.C.B
- MUMIAS

OR LIPA KARO NA MPESA BUSINESS NO. 522123 ACCOUNTS: 55102K FOLLOWED CLOSELY BY
ADMISSION NO. OF THE STUDENT PERSONAL CHEQUES AND CASH WILL NOT BE ACCEPTED
.PRINCIPAL/SECRETARY B.O.M./P.A

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