This form is to be completed by proprietors registering their school with the MOE for the first time. Private School Registration Form Application for Registration of a Private SchoolIn accordance with the Education Act, Chap. 39:01Section 1: Proprietor InformationName of Proprietor:First Name: *Middle Name:Last Name: *Police Certificate of Good Character for Proprietor & (2) Forms of National ID: Please select two (2) forms of ID. A copy of each ID must be scanned an uploaded together with the police certificate of character as a single file.Forms of Identification: *PassportDriver's PermitIdentification cardPlease select the two (2) forms of ID being uploaded.Police Certificate of Good Character for Proprietor & (2) Forms of National ID: *Choose FileNo file chosenDelete uploaded fileFile must be a PDF document and no larger than 12MB.Address of Proprietor:House / LP Number:Street Address: *City / Town *Is your mailing address the same as the address above? *YesNoHouse / LP Number:Street Address:City / Town:Contact Information:Email Address *Primary Contact Number *Secondary Contact NumberSection 2: School InformationName of Principal / Manager of School:First Name:Last Name:Address of School:House / LP Number:Street Address: *City / Town: *School Details:Name of School: *Date Established: *Current School Population: *Maximum School Population: *Type of School: *ECCEECCE and PrimaryECCE, Primary and SecondaryPrimaryPrimary and SecondarySecondaryOtherPlease specify what is meant by other:Technical / Vocational Training: *YesNoIs the school owned or rented by the proprietor? *OwnedRentedThe Aforementioned School is Housed in:Please SelectDwelling HouseDuplexAnnexedRental building (Commercial building)Stand AloneType of ECCE Center:Please SelectCommunity BoardFaith-BasedPrivateSERVOLType of ECCE Service Offered:Before / After CarePre-SchoolDay CarePlease select all that applyCopy of Notification to Children’s Authority:Choose FileNo file chosenDelete uploaded fileFile must be a PDF document and no larger than 12MB.School Operating Hours:Number of Weeks in Session Per Year: *Number of School Hours Per Day: *Opening Time: *Hour-120102030405060708091011Minute-000510152025303540455055AMPMClosing Time: *Hour-120102030405060708091011Minute-000510152025303540455055AMPMSchool Contact Information:Primary Contact Number: *Secondary Contact Number:Section 3: Staffing InformationNumber of Teaching Staff: *Number of Ancillary Staff: *Teacher Aide, Clerical, Janitor etc.Teacher Bio-Data and Qualifications: Please download, complete and reupload the Staff Data Excel Sheet provided. Data for all staff members must be entered onto this sheet.Staff Data Excel Sheet *Choose FileNo file chosenDelete uploaded filePlease Re-Upload Completed Sheet as an Excel DocumentECCE CertificatesChoose FileNo file chosenDelete uploaded fileScan and Upload only One (1) PDF Document for all Teachers.Teacher Resumes *Choose FileNo file chosenDelete uploaded fileScan and Upload only One (1) PDF Document for all Teachers.Police Certificates of Good Character *Choose FileNo file chosenDelete uploaded fileScan and Upload only One (1) PDF Document for all Teachers.Teacher's Registration Certificates *Choose FileNo file chosenDelete uploaded fileScan and Upload only One (1) PDF Document for all Teachers.O’Level Certificates *Choose FileNo file chosenDelete uploaded fileScan and Upload only One (1) PDF Document for all Teachers.University Certificates and Any Other Supporting Documents *Choose FileNo file chosenDelete uploaded fileScan and Upload only One (1) PDF Document for all Teachers.Section 4: Curriculum InformationCourse Outline: Please download, complete and reupload the Curriculum Outline provided. The reuploaded file must be a PDF document no larger than 12MB.Daily ScheduleChoose FileNo file chosenDelete uploaded filePlease Re-Upload Completed Document as a PDF. File must not be larger than 12MBType of ECCE Curriculum *Ministry of Education National Curriculum GuideSERVOLOtherPlease specify what is meant by other:Course OutlineChoose FileNo file chosenDelete uploaded filePlease Re-Upload Completed SheetCertification:CAPECSECCVQGCE Advanced LevelGCE O-LevelNEC LEVEL 1/2/3SEAOtherPlease specify what is meant by other:Programme: *Duration: *Entry Requirements: *Section 5: ApprovalsDocumentary evidence of approvals from Government AgenciesWater and Sewerage Authority (WASA) Approval *Choose FileNo file chosenDelete uploaded fileElectrical Inspectorate (Public Utilities Commission) *Choose FileNo file chosenDelete uploaded fileFire Life Safety Inspection Certificate *Choose FileNo file chosenDelete uploaded fileApproval from County Medical Officer, Ministry of Health *Choose FileNo file chosenDelete uploaded fileTown and Country Planning approval *Choose FileNo file chosenDelete uploaded fileCertificate of Business Registration from Ministry of Legal Affairs *Choose FileNo file chosenDelete uploaded fileSection 6: Supplementary documents for submissionProcedures for Handling Complain, Healthy & Safety Policy & Behavior PolicyPlease compile all supplementary policy documents into a single PDF document to be submitted below.Supplementary DocumentsChoose FileNo file chosenDelete uploaded fileFile must be a PDF document and no larger than 12MB.Statutory Declaration - Registration of a Private School *Choose FileNo file chosenDelete uploaded fileFile must be a PDF document and no larger than 12MB.Consent Declaration *I certify that the information submitted is true, complete and correct to the best of my knowledge and belief.Submit FormSave and Return