I confirm that I have been issued with the following items: (TICK as appropriate) ITEM CADRE DIPLOMA/CERTIFICATE UNDERGRADUATE MASTERS PHD Gown Hood Cap
I fully understand that the above items must be returned before or by 8th January, 2024 failure to which I shall pay a penalty of Kshs. 500 per day until all the items are returned, OR pay the full cost of the items plus the penalty in the event of their being lost or damaged while in my possession.
THE ITEMS MUST BE RETURNED TO THE SCHOOL WHERE THEY WERE ISSUED
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SIGNATURE NATIONAL ID NO. DATE
PART B: FOR OFFICIAL USE ONLY
(To be filled by the Receiving Officer upon return of item/s borrowed)
I confirm that the above named has returned Academic Regalia as follows: ITEM CADRE DIPLOMA/CERTIFICATE UNDERGRADUATE MASTERS PHD Gown Hood Cap
