THE KENYA NATIONAL EXAMINATIONS COUNCIL REF: KNEC/EA/EM/KCSE/REG/FS/O4/2015/REV 30. 2015 KCSE FEES SUMMARY SHEET FOR PRIVATE CANDIDATES ONLY (To be completed in duplicate by Heads of Institutions/Sub County Education Officer and original forwarded to Kenya National Examinations Council together with other registration documents) (i) PRIVATE CENTRE DETAILS Name of Centre: ________________________________ Centre Number: ________________________ Address:_____________________________________________________________________________ ____________________________________________________________________________________ Telephone No ._________________________________________Mobile No.______________________ Number of Candidates paid for: ___________________________________________________________ (ii) FEES BREAKDOWN NO. OF SUBJECTS ENTERED FEES DUE KSHS 5,000.00 5,400.00 5,800.00 7 8 9 Sub Total Project fees Home Science Art and Design Agriculture Woodwork Metal Work Building Construction Power Mechanics Electricity Drawing & Design Aviation Technology Computer Studies French German Arabic Kenyan Sign Language Music 441 442 443 444 445 446 447 448 449 450 451 501 502 503 504 511 NO. OF CANDIDATES TOTAL FEES PAYABLE KSHS. 200.00 200.00 200.00 200.00 200.00 200.00 500.00 500.00 200.00 2,500.00 200.00 500.00 500.00 500.00 500.00 500.00 2015 KCSE FEES SUMMARY SHEET Page 1/2 (iii) 2015 DETAILS OF PAYMENT MADE Bank and Branch: _____________________________________________________________ Amount deposited in figures: ____________________________________________________ Amount deposited in words: ____________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ Date of deposit:________________________________________________________________ PRINCIPAL’S NAME: _____________________________________________________________ MOBILE NUMBER: _____________________________________________________________ SIGNATURE: ___________________________________________________________________ DATE: ________________________________________________________________________ SUB-COUNTY EDUCATION OFFICER: _______________________________________________ MOBILE NUMBER: _____________________________________________________________ SIGNATURE: ___________________________________________________________________ DATE: ________________________________________________________________________ OFFICIAL STAMP: 2015 KCSE FEES SUMMARY SHEET Page 2/2