OUR LADY OF AFRICA JUNIOR SCHOOL -BUKASANURSERY AND PRIMARY, MIXED DAY AND BOARDING
APPLICATION FORM
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DATE *
MM
/
DD
/
YYYY
NAME OF PUPIL *
AGE *
GENDER
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CURRENT CLASS *
CLASS APPLIED FOR *
YEAR OF ADMISSION *
DATE OF BIRTH *
MM
/
DD
/
YYYY
NATIONALITY *
HOME DISTRICT
RELIGION
PREVIOUS SCHOOL *
IN DAY/BOARDING
TO USE SCHOOL TRANSPORT/ PRIVATE *
DOES THE CHILD HAVE ANY MEDICAL COMPLICATIONS *
IF YES, PLEASE GIVE DETAILS
FATHER’S NAME *
TELEPHONE NUMBER *
E-MAIL ADDRESS *
PLACE OF WORK *
OCCUPATIION *
RESIDENCE/TOWN *
MOTHER’S NAME
E-MAIL ADDRESS
PLACE OF WORK
RESIDENCE/TOWN
GUARDIAN’S NAME
RELATION SHIP
TELEPHONE NUMBER
E-MAIL ADDRESS
PLACE OF WORK
RESIDENCE/ TOWN
DECLARATION
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