UGANDA MARTYRS’ SECONDARY SCHOOL NAMUGONGO

P.O.BOX 5369 KAMPALA, TEL.0414-285477

Application for Admission to Senior five

1 p.p photo
(Use Block Letters)

Names ………………………………………………………..Index No. ……………………………….

(Use names that you registered with UNEB)
Date of Birth:……………………………….. Age: ………………………. Sex: ………………………
Religion …………………………………….
Tribe: ………………………………….. Nationality ……………………………………………………

Last secondary school attended …………………………………………………………………………..

From: …………………………………. To: …………………………………………………………….

FILL IN U.C.E RESULTS OF 20.……..

English History Commerce
Physics Geography ICT
Chemistry Literature Accounts
Biology Luganda Fine Art
Mathematics French Home Economics
Agriculture German Technical Drawing
Music C.R.E Agriculture

Grade …………..Aggregates in 8: …………………. Aggregates in 10: …………………………………

FILL IN MOCK RESULTS

English History Commerce

Physics Geography ICT
Chemistry Literature Accounts
Biology Luganda Fine Art
Mathematics French Home Economics
Agriculture German Technical Drawing
Music C.R.E Agriculture

Grade …………..Aggregates in 8: …………………. Aggregates in 10: …………………………………

A-Level combinations applied for (Must have attained a distinction in each subject)

Combinations: 1st Choice ………………………….. 2nd Choice ……………………………… 3rd Choice………

Health: Mention any special medical problems: These should be certified by a medical doctor.
……………………………………………………………………………………………………
Father’s Name: ………………………………………Tel: …………………Place of Work……………………………….....
DESIGNATION …………………………. Mother’s Name: …………………..……………………………………………
Mother’s Tel. No…………………..………………….Place of Work & Designation ……………………………………….
Father’s NIN No. ………………………………………. Mother’s NIN No. ………………………………………………..
PHYSICAL HOME ADDRESS………………………………………………………………………………………………
NEXT OF KIN ………………………………………………………….Tel: ………………………………………………..
SIGN (PARENT) …………………………………………. (STUDENT) ………………………………………………….
A CANDIDATE WILL BE DISQUALIFIED FOR HAVING FILLED/ATTACHED FALSE INFORMATION TO
THIS FORM.
APPLICATION FEE: 30,000/= (Non-refundable)
 ADVANCED LEVEL COMBINATIONS
(I) FACULTY OF ARTS COMBINATIONS

1. The cluster of subjects which are taught at the same time are as follows:

Fine Art/Luganda/Literature/French/Entrepreneurship Education. Therefore, a student must select only one subject from that
cluster.

2. All students must pursue Economics in their combinations which are indicated below:

1. HEG/SM
2. HED/SM
3. HEL/SM (Where “L” stands for either Luganda or Literature in English)
4. HEF/SM
5. HEENT/SM
6. HEA/SM (Where A stands for Fine Art)
7. LED/SM (Where “L” stands for either Luganda or Literature in English)
8. LEG/SM (Where “L” stands for either Luganda or Literature in English)
9. DEA/SM(Where A=Fine Art)
10. FEG/SM
11. FED/SM

(II) FACULTY OF SCIENCES COMBINATIONS:

A: Biological Science Section:

1. All students admitted for Biological Sciences shall offer Biology and Chemistry.
2. Students pursuing Biological Sciences should only select Foods and Nutrition i.e they must not select Fine Art,French
Luganda, Literature in English nor Entrepreneurship from the cluster of elective subjects.

Combination in Biological Sciences including Principal Mathematics.

1. BCM/CT

Combinations in Biological Sciences without principal Mathematics:

1. PCB/SM
2. BCFN/SM (FN- Foods and Nutrition)

B. Physical Science Section

1. All students admitted in this section shall pursue principal mathematics and subsidiary computer studies.
2. Students must NOT pursue both Physics and Geography.
3. Students must NOT select Luganda, Literature in English nor Foods and Nutrition from the cluster shown below:
Fine Art/Luganda/Literature in English/French/Entrepreneurship/FN.

Combinations in Physical Sciences:

1. PCM/CT, PEM/CT, MEG/CT, PAM/CT, MEENT/CT, MEA/CT