MINISTRY OF EDUCATION
STATE DEPARTMENT FOR EARLY LEARNING AND BASIC EDUCATION
INSTITUTIONAL BIODATA FORM
KILIFI CHONYI
1. County:……………………2.Sub-County:……………………. KILIFI SOUTH
3.Constituency: …………………….
4. Zone: …………………………….
CHONYI CHASIMBA
5. Ward: …………………………………………………
MAKATA PRIMARY SCHOOL
6. Name of Institution/ Centre :…………………………………………………………………………………
(Official Name as in Registration Certificate)
7. NEMIS Code (UIC): ……………. LNEB
8. Level: Pre-Primary [ ] Primary [ ] Secondary [ ]
9. School Category Public [ ] Private [ ]
10. Curriculum Offered CBC [ ] 8-4-4 [ ] IBE [ ] GCSE [ ] Montessori [ ] Mixed [ ]
11. SNE Status Regular [ ] Special [ ] Integrated [ ] Special Unit [ ]
12. School gender categorization Boys [ ] Girls [ ] Mixed Boys and Girls [ ]
13. School accommodation type: Day [ ] Boarding [ ] Mixed Day & Boarding [ ]
14. School mobility status: Static school [ ] Mobile school [ ]
15. Registration status with MOE/CEB Registered [ ] Provisional Registration [ ] Not Registered [ ]
03S2000/0061
16. Registration Certificate Number: ……………………….…. 17. Registration Date: …………..……..
28/06/2019
14701-3-4080
17. TSC Registration No. ………………………….. 18. KNEC Registration No. ……………………..
04129106
P051846377A
19.KRA PIN: …………………………….. N/A
20. Certificate of Incorporation (if Private): …………………..
1153
21. Postal Address: ………………………. 80108
Code: …………….….. KILIFI
City/ Town:……………………..
22. School Telephone Contacts: 0719 457 138
Fixed: ……………………….. Mobile: ……………………..…
CHASIMBA POLICE STATION
23. Nearest Police Station: ……………………………………………………………………………………
KILIFI COUNTY HOSPITAL
24. Nearest Hospital/ Dispensary/Health Centre: …………………………………………………………….
Recorded by Principal/ Headteacher/Centre Manager
EVANS MWANGO SODA
Name: …………………………………………………………… 0719 457 138
Mobile No.: ………………………..
Signature……………………………………………………….... Date & Stamp……………………….
15/10/2022