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TSC Gp69 Form. The Medical Examination Report Form

TSC data returns form for Primary Schools

TEACHERS SERVICE COMMISSION, TSC.

The Teachers Service Commission, TSC, secondary schools data returns form pdf download.

EDUCATION MANAGEMENT INFORMATION SYSTEM(EMIS) PRIMARY SCHOOLS DATA RETURNS :FORM A

YEAR _______________ TERM

GENERAL GUIDELINES AND INSTRUCTIONS

  1. Read the instructions on the form very carefully before completing.
  2. This form is to be completed by the head of the institution. Note: Information provided in this form should be correct.  Provision of
    incorrect information may lead to disciplinary action.
  3. All parts of the form must be filled.
  4. The information should be captured for the month of May.
  5. The form is to be completed in triplicate. The institution should retain the triplicate while the original and duplicate be forwarded to TSC County Director by 31st May.
  6. For any query regarding this form contact the TSC County Director.

DISTRIBUTION

(i) TSC copy through  TSC County Director

(ii)  County Director’s Copy

(iii)  Headteacher’s Copy

I. SCHOOL IDENTIFICATION II. SCHOOL CHARACTERISTICS

1. Status                                     1. Public Ordinary

( Tick the Applicable number)   2. Public Special

3. Public Ordinary/Integrated

III. SUMMARY DATA
1. School Name
1. Total No. of Pupils
2. TSC School Code: (please enter both codes) a. Boys
a) IPPD code: b) EMIS code: 2.  Category                               1. Boys

( Tick the Applicable number)   2. Girls

3. Mixed

b. Girls
3.  Address

Box:

Postal Code:

Cellphone:
 

3. Type(Tick as applicable)

Total
 

Tel. No:

2. (a) No. of Classes
4. Reg. No. 1. Boys

 

2.Girls

 

3.Mixed

Day
Fax: Boarding
5. Sponsor Day
Email: Boarding  

(b) No. of  Physical Existing Classrooms

Day
6. SCHOOL LOCATION Boarding
 

4. Type of Special

Educ. need

4. Type of Special

Educ. Need Enrol.

 

Boys           Girls

Special

Educ.Teachers on

Duty

Male      Female

County 3. (a) Total No. of Teachers on Duty:   Male

Female

District a) Mental(M.I.)
Constituency b) Visual (V.H) (b) Total No. of Teachers on  leave:  Male

(maternity,sickness,study etc)

Female

c) Hearing (H.I.)
Division
d) Physical (P.I.)  

 

4.Summary of Current Staffing positions Per Job Group

Location  

f) Multiple (M.H.)

 

g) Speech (S.H.)

E L
Sublocation F M
 

h) Autistics (M.H.)

G N
H P
Zone i)  Albinism J Q
j) Others (specify) K R

 

IVA.  ORDINARY SCHOOL ENROLMENT (Absent Pupils already in Term Register should be included)

STD 1 STD2 STD3 STD4 STD5 STD6 STD7 STD8 TOTAL
AGE M F M F M F M F M F M F M F M F M F
Below 5 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
Abve 15 years
Total
Total M&F

 

  1. NUMBER OF STREAMS PER CLASS
STD 1 STD2 STD3 STD4 STD5 STD6 STD7 STD8 TOTAL
NO. OF STREAMS

 

IVB. SPECIAL/ INTEGRATED SCHOOL ENROLMENT (Absent Pupils already in Term Register should be included)
STD 1 STD 2 STD3 STD 4 STD 5 STD 6 STD 7 STD 8 Vocational Total
AGE M F M F M F M F M F M F M F M F M F M F M & F
Below 5 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15 Years
Abve 15 years
Total
Total M&F

 

VB.NUMBER OF STREAMS PER CLASS

STD 1 STD 2 STD 3 STD 4 STD 5 STD 6 STD 7 STD 8 Vocational TOTAL
NO. OF STREAMS

 

  1. STAFF ESTABLISHMENT
  2. TEACHERS (Should be captured in the following order, H/T,D/HT,senior teacher, teacher ;include absent, on leave/sick- off etc)
 

 

 

 

 

S/No. TSC No.

 

 

 

 

 

ID. Number

 

 

 

 

 

Name

 

 

 

 

Sex

m/f

 

 

 

Date of

Birth

dd/mm/yy

 

 

 

Nation

ality

Code

 

 

Terms

of

Service

Code

 

Date of

First

Appointme

nt

dd/mm/yy

 

 

 

 

Grade

Code

Date

Appointed

to the

Current

grade

dd/mm/yy

 

 

 

 

Qual.

Code

 

 

Date Posted

to current

Station

dd/mm/yy

 

 

 

Designa

tion

Code

 

 

 

 

Religion

Code

 

 

 

 

Specialization

code

 

 

No. of

Lessons

Taught/WK

(Total)

 

 

Signature

/Reason for

absence/Leave

Type)

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
 

Nationality

 

Terms of Service

 

Grade Code

Academic

Qualifiacation

Designation

Code

Specialization

code

Reason for absence/Type of

Leave

1. Kenyan

2. Other

1.Permanent

2.Contract

3.Temporary

1 P2                                 F                          20 SNR. GRAD                                         M

2 P1                                G                          21 SNR. APPR. TEACHER                                        M

3 TCTT III                    H                          22 SNR. LECTURER                                        M

4 ATS IV                       H                          23 PRINCIPAL III                                        M

5 UTTT                          H                          24 PGAT II                                        N

6 UTGRAD                    J                          25 PAT II                                         N

7 TCTT II                      J                          26 P. LECTURER                                         N

8 TDTT III                     J                          27 PRINCIPAL II                                         N

9 DIP. GRAD I              J                          28 PGAT I                                         P

10 ATS III                        J                          29 PAT I                                           P

11 TCTTI                        K                          30 PRINCIPAL I                                           P

12 TDTT II                      K               31 SPGAT                                           Q

13 ATS II                         K               32 CPGAT                                           R

14 GAT II                        K

15 ASS.LECTURE         K

16 TDTT I                        L

17 GAT I                          L

18 LECTURER               L

19 ATS I                           L

1. Ph.D

2. Masters

3.Degree

4. Diploma

5.Diploma(Techn.)

6. Tech. Cert

7.A- Level

8.O-Level/KCSE

9. KJSE/KCE div IV

10. KCSE-D

11. KCPE

12. WITHOUT KCPE

1. HeadTeacher

2. Deputy H/T

3. Senior Teacher

4. Teacher

5. Special Unit

Teacher

1. Mental(M.I.)

2. Visual (V.I.)

3. Hearing (H.I.)

4. Physical (P.I.)

5. Multiple (M.H.)

6.Autism

7.Gifted and talented

8.Inclusive learning

1. Sick Leave

2. Study Leave

3. Maternity

4. Special Leave

5.Compassionate

6.  leave

7.Annual Leave

8.Leave outside kenya

9.Absence without

official  leave

10. Other (specify)

 

  1. STAFF ESTABLISHMENT (CONT’D)
  2. TEACHERS (Should be captured in the following order, H/T,D/HT, teacher ;include absent, on leave/sick- off etc)
 

 

 

 

S/No. TSC No.

 

 

 

 

ID. Number

 

 

 

 

Name

 

 

Sex

m/f

 

Date of

Birth

dd/mm/yy

 

 

Nationalit

y Code

 

 

Terms of

Service Code

 

Date of First

Appointment

dd/mm/yy

 

 

Grade

Code

 

Date Appointed

to the Current

grade dd/mm/yy

 

 

Qual.

Code

Date Posted

to current

Station

dd/mm/yy

 

 

Designation

Code

 

 

Religion

Code

 

 

Specialization

code

 

Lessons

Taught/WK

(Total)

 

 

Signature /Reason for

absence/Leave Type)

 

17

 

18

 

19

 

20

 

21

 

22

 

23

 

24

 

25

 

26

 

27

 

28

 

29

 

30

 

31

32

 

DETAILS OF TEACHERS WITH DISABILITY                                                                                                 SPECIAL REPORTS

TSC NO.                                                                                                   NAMES                                                                                                      SEX                                                                                                      TYPE OF DISABILITY                                                                                           Specialization code                                                         Teachers who can not teach full load __________________

  1. Mental(M.H.) Reasons
  2. Visual (V.H.) (a) Sickness _______
  3. Hearing (H.I.) (b) Disability______
  4. Physical (P.H.) (c) Other (Specify)_____
  5. Multiple (M.H.) No. of periods lost due to absenteeism during the term _______

VIII.  Study Programmes

This part captures information of any Teacher who is pursuing further studies. The information will guide the Commission in future projections and planning.

 

 

TSC NO.

 

 

Name

 

 

Course of Study

 

Date Started

dd/mm/yy

 

Expected Date  of

completion (dd/mm/yy)

 

 

Subject Area of Study

Full

Time/Part

time

1
2
3
4
5
6
7
8
9
10
Course of Study

Code

1 Diploma

2 Bachelors

3 PGDE

4 Masters

5 Ph.D

6 Other (Specify)

 

Areas Of Study

1. Languages                                                                11. Special Education                                                                                    20. Other Courses(specify)

3. Chemistry                                                                13. Geography

4. Biology                                                                    14. History

5. Mathematics                                                             15. Christian Religion Education

6. Accounting                                                              16. Islamic Religious Education

7. Computer Science                                                     17. Guidance and counselling

8. Information Technology                                           18. Economics of Education

9. Education Planning and Administration                    19. ECDE course

 

I Certify that the information  contained in this form is correct.

Head Teacher’s

Name

Official Stamp                              County Director Official Stamp
TSC No. Personal No.
Signature Signature
Date Date

 

Download the pdf copy here.

Get more TSC forms here; All TSC forms for teachers: Free PDF download and filling guides.

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