MINISTRY OF EDUCATION
STATE DEPARTMENT OF EARLY LEARING & BASIC EDUCATION
Directorate of Field Coordination and Co-Curricular Activities
The Kenya Secondary Schools Sports Association
OFFICIAL TEAM LIST/DECLARATION FORM
Year: ……………………………. Games: Term I/II …………
Team: ……………………………… BOYS/GIRLS:……………………… No: …………………………..
School: ……………………………………………………. Sub – County: …………………………………..
County: …………………………………………………… Region: ………………………………………………
The following whose details are given here – under are bona fide students of this school
NO FULL NAMES ADMISSION D.O.B KCPE INDEX NO. KCPE UPI
. CLASS D.O.A ADM YEAR NUMBER
NO
1
10
11
12
13
14
15
16
17
18
19
20
21
22
DECLARATION
I, the principal of the above named School hereby solemnly declare that the information provided and in any other related
documents on my School team bearing my signature and School stamp is correct.
COACH/GAMES PRINCIPAL SUB COUNTY COUNT REGIONAL
TEACHER DIRECTOR OF DIRECTOR OF COORDINATOR
EDUCATION EDUCATION OF EDUCATION
NAME NAME NAME NAME NAME
TSC NO TSC NO P/NO P/NO P/NO
SIGN SIGN SIGN SIGN SIGN
DATE DATE DATE DATE DATE
STAMP STAMP STAM STAMP STAMP