SAINT FLORENCE ACADEMY LTD.

P.O BO 31228, Tel: 255 22 2771599, Mobile: +255 784 341194/ 318523
Tembo Avenue 622 – Mikocheni
DAR ES SALAAM – TANZANIA

NURSERY AND PRIMARY SCHOOL

APPLICATION FORM

PERSONAL DETAILS:

Name & Surname: Nation/ Tribe:

Sex M/F: Place of Birth: Date of Birth:

Home Address:
Region District: Area: Street:

House No: Postal Address: Office: Home:

Educational Background:
Names of the school so far attached with years (please attach copies of school reports)

Result of Standard 4 exam: Date of Leaving/ Previous School:

Applying for Grade: Applying for Nursery:

1 2 3 4 5 6 7

Parents/ Guardian Name Occupation Business Address Phone No.

Father’s
Mother’s
Guardian’s
We shall conduct a written entrance examination and an oral interview. Every applicant has to
take the examination and be interviewed before admissions.
Entrance examination will be held on ______________ 20____ at St. Florence Academy.

All correspondence should be addressed to the Managing Director