Alumni

ONLINE APPLICATION FORM

MANDELA SECONDARY SCHOOL – HOIMA
STUDENT’S PERSONAL DATA FORM
“Caring to Achieve”

Student Details

Name:

Class: Year:

Sex: Age: Date of Birth:

LIN:

NIN:

Address:

Father’s Details

Name:

NIN:

Occupation:

Address:

Tel: Email:

Mother’s Details

Name:

NIN:

Occupation:

Address:

Tel: Email:

Guardian’s Details (If Any)

Name:

Occupation:

Address:

Tel: Email:

Other Information

Residence while schooling:

Any disability / health problem:

Hobbies:

Games played:

Who pays school fees? Contact:

P.L.E Results

Index No: Year:

Primary School:

Grades (English, MTC, Science, SST, Total Agg, Div):

U.C.E Results

Year: Index No:

Former School:

Grades (ENG, MTC, BIO, CHEM, PHY, HIS, GEOG, CRE, ENT, AGRI, ICT):

Declaration

I confirm that the information given on this form is correct to the best of my knowledge.

Student’s Name & Signature:

Parent’s Name & Signature:

MANDELA S.S, HOIMA

ONLINE APPLICATION FORM

MANDELA SECONDARY SCHOOL – HOIMA
STUDENT’S PERSONAL DATA FORM
“Caring to Achieve”

Student Details

Father’s Details

Mother’s Details

Guardian’s Details (If Any)

Other Information

P.L.E Results

U.C.E Results

Declaration

Location

Quick Links

Reach us on

Social Networks

MANDELA S.S, HOIMA

ONLINE APPLICATION FORM

MANDELA SECONDARY SCHOOL – HOIMA STUDENT’S PERSONAL DATA FORM “Caring to Achieve”

Student Details

Father’s Details

Mother’s Details

Guardian’s Details (If Any)

Other Information

P.L.E Results

U.C.E Results

Declaration

Location

Quick Links

Reach us on

Social Networks

MANDELA SECONDARY SCHOOL – HOIMA
STUDENT’S PERSONAL DATA FORM
“Caring to Achieve”