Peponi House Preparatory School

Application Form

This form should be completed and sent to the School Secretary with the entry fee of KES 5,000/-

Surname: SurnameOther names:Other Names(☐ Boy / ☐ Girl)

Term and Year of Entrye.g. January 2021

Nationality:Nationality

Religion:Religion

Date of Birth:DayddMonthmmmmYear yyyy

Previous two schools at which the child has been educated:

1: School:SchoolFrom:e.g. 1/9/12To:e.g.30/9/17

2: School:SchoolFrom: e.g. 1/9/12To: e.g. 30/9/17

Names and Dates of Birth of siblings:

NameDate of Birth: dd/mm/yy

NameDate of Birth: dd/mm/yy

NameDate of Birth: dd/mm/yy

Names,Occupations andAddresses ofParents orGuardians

Title & Name:Mr Mrs Ms Dr …TitleName:Mr Mrs Ms Dr …

Occupation:OccupationOccupation:Occupation

Employer:EmployerEmployer:Employer

Address:Line 1Address:Line 1

Line 2Line 2

Mobile:…Mobile:…

Office:…Office:…

Home:…Home:…

E-mail:…E-mail:…

Child’s anticipated length of stay at Peponi House:Number of Years

1st Language:Language2nd Language:Language

Is the child entered for another Preparatory School?☐Yes☐No

Name of School:e.g. St. Edward’s

Term and Year:e.g. September 2017

Is Peponi House the firstchoice?☐Yes☐No

Will you be paying the fees personally orwill these be paid by a company?☐ Personal☐ Company

Intended school afterPeponi House:

1st choice: e.g. Peponi School2nd choice:e.g. Peponi School

PARENTS ARE REQUESTED TO READ VERY CAREFULLY THE CONDITIONS OVERLEAF REGARDING THE PAYMENT OF SCHOOL FEES

CONDITIONS REGARDING THE PAYMENT OF SCHOOL FEES

1. DEPOSIT

An advance payment (“the Deposit”) of half of one full term’s fees shall be paid upon receipt of a written offer of a place from the school in order to secure a place. Any deposit paid shall not be refundable in the event that the pupil does not take up the place offered for whatever reason.

The deposit shall be repaid when the child leaves the school, on condition that due notice has been received by the school.

2. ADMISSION

The Child shall not be admitted to the school and the school shall not accept any payment from the Parent/Guardian unless the Parent executes the Contract Regarding Payment of Fees, the Admission Form and the Indemnity Form and comply with any other admission requirements. The Child shall forfeit the place given by the school in the event that the said forms shall not have been returned within 2 days of collection by the Parent.

3. SCHOOL FEES

The Management of the School requires the fees to be paid on or before the first day of each term and reserve the right to return a Child/Pupil home should the fees not be paid by the 14th day of term.

i) Fees not paid by the 14th day of term will attract an automatic 3%monthly cumulative surcharge on the balance outstanding.

ii) Remission of school fees is not made in cases of illness or absence through infection or any other cause.

iii) Any costs incurred by the School in pursuing recovery of any outstanding fees shall be borne by the Parent/Guardian.

4. NOTICE

Notice of intention to remove a Child from school must be in writing to the Headmaster and sent so as to reach him, at the latest, before the opening of the term at the end of which the child is to leave; otherwise payment of the next term’s fees will be required.

Parents/Guardians who withdraw their Children at any time or leave for any other reasons during the term are liable for the full term’s fees.

The conditions stated herein above shall remain in force from the date of admission of the Child until the date of departure from the school.

5. EMERGENCY

In the event that the school is unable to contact the Parent/Guardian, the school reserves the right to give permission for the administration of a general anaesthetic, if recommended in an emergency by a hospital or doctor.

6. JURISDICTION

The Headmaster reserves the right, without giving any reason whatsoever, to require the immediate withdrawal of any Child.

The parties hereby agree that the Courts of Kenya and the applicable Kenya Law shall have jurisdiction to settle any dispute arising from this agreement.

7. ENFORCEMENT OF THE TERMS AND CONDITIONS

It is hereby agreed that the above terms and conditions shall be deemed to constitute a valid Contract between the Parent and School and shall be enforceable in a Court of Law in the event of default.

We agree to abide by the above conditions

Signatures of both Parents / Guardians

Signed: Type name here if sending my email Type name here if sending my email.

Date: Select date

PEPONI HOUSE PREPARATORY SCHOOL, P.O. BOX 23203, NAIROBI 00604, KENYA

TEL: (+254 020) 2585712, 020 2585711, 020 2585710, 020 2385330 0734 881255, 0722 202947

E-MAIL: INTERNET: