Admission Form

Name

First

Last

This Captures the Name of the Applicant

Home District

Please Enter the Applicants Home District.

Date of Birth

Please the Applicants date of Birth in the dd/mm/yy order

Former School

Enter the school you are transferring from.

Which Class are you Applying for ?

Please the class for in which would want to be admitted from the list.

Learner Identification Number

Enter the Applicants LIN if available

PLE/ UCE INDEX NUMBER

Please enter you PLE if you applying for O’level and UCE index Number if you are applying for O’level

AGGREGATES AT PLE/ UCE

Please enter the Aggregates of PLE or UCE depending on the Class of Admission

DIVISION

Please indicate the Grade of PLE /UCE

Father/ Gardian's Name

Please enter the Applicant’s Father/ Guardian’s Name

Mother/ Gardian's Name

Please enter the Applicant’s Mother/ Guardian’s Name

Parent/ Guardian's Tel. Contact

Please Enter the Parents Telephone Number.

Describe your hobbies and Interests.

Do you have any Questions or Comments?

How would you want us to contact you for further details and confirming your Admission

Please indicate how you would want us to contact you for further details and confirming your Admission. Select from the list.

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