ADMISSION FORM 2020/2021

STUDENT'S INFORMATION
Student Name:  _________________________________________________
Class Applying For:  ______________________________________________
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Tel: 0776182222 Curriculum Applying For: _________________________________________
0700502096 Date of Birth:____________________________________________________
Email:
kampalasmartschool@gmail.com Nationality: _____________________________________________________
Previous School: ________________________________________________
P.O. Box 36596 Previous Curriculum:_____________________________________________
Kampala, Uganda
Subjects Offered:

PARENTS' INFORMATION
Mother's Name: ________________________________________
Place of Residence: _____________________________________
Phone number: ________________________________________
Email Address: _________________________________________
Father's Name: _________________________________________
Place of Residence______________________________________
Phone number: ________________________________________
Email Address: _________________________________________

EMERGENCY CONTACT
Guardian:  _____________________________________________
Relationship to student: _________________________________
Mobile no.:  ____________________________________________
Address:  ______________________________________________
ATTACH;
- Two passport photographs for the student and and one for each
parent.

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- A copy of the student's previous school report card.
___________ ___________________________
___________________________
www.kampalasmartschool.com Parent/Legal Guardian's
Date
signature over printed name