THE KENYA SCOUTS ASSOCIATION

P.O. BOX 41422, NAIROBI TEL: 020-2020819/ 0733919333

EMAIL: info@kenyascouts.org

REGISTRATION OF UNIT YEAR 2024

NAME OF INSTITUTION__________________________________________________________

POSTAL ADDRESS __________________________________________________________

SCOUT LEADER __________________________________________________________

ASS. SCOUT LEADER _________________________________________________________

COUNTY _________________________________________________________

SUB COUNTY _________________________________________________________

ZONE (WARD) _________________________________________________________

NAME OF PERSON REGISTERING________________________________________________

EMAIL: _________________________________________________________

CELL NO.: _________________________________________________________

ID NO/PP NO. _________________________________________________________

SIGNATURE _________________________________________________________

MPESA TRANSACTION NO. (PAID VIA PAYBILL NO. 963350.)

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DATE____________________ TIME: ______________________ AMOUNT__________________

FOR OFFICIAL USE ONLY

HEAD OF INSTITUTION: ___________________________________ DATE _______________________