MANCHESTER HIGH SCHOOL FIFTH FORM CSEC ENTRY FORM 2020-21

FORM:_______

P
SURNAME FIRST NAME MDLE. INTL.

GENDER M / F STUDENT’S EMAIL: _____________________

DATE OF BIRTH
PARENT’S NAME:_______________________
D D M M Y Y Y Y
TELEPHONE.# :___________________________

NB: LIST ONLY THE SUBJECTS YOU WILL BE SITTING IN THE MAY/ JUNE 2021 CSEC EXAMS.

STUDENTS SITTING TECHNICAL DRAWING AND VISUAL ARTS MUST WRITE SUBJECT OPTIONS.

GOVERNMENT SUBSIDY
( Eng. A, Maths, Info. Tech
one Science Subject.)
SUBJECT NAME OF TEACHER

1._________________________________ ________________________________

2._________________________________ _________________________________

3._________________________________ __________________________________

4._________________________________ __________________________________
OTHER SUBJECTS TEACHER

5._________________________________ __________________________________

6._________________________________ __________________________________

7._________________________________ __________________________________

8._________________________________ __________________________________

9._________________________________ __________________________________

10.________________________________ __________________________________

Special Fee for Theatre Arts. Oral Fees for Spanish and French.

CSEC SUMMARY
GOVERNMENT SUBSIDY _____________________
Entry Fee _________________
NCB SUBSIDY _____________________
______ Subjects ___________________ JPS SUBSIDY _______________________

______ Practical _________________ AMOUNT PAYABLE __________________________

______ Oral ___________________

______ handling charge_____________
PAYABLE AT BANK _______________________
Bank of Nova Scotia Mandeville
Account # 352-11
Checked by _______________________