Nsvs On Line Admission

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NAMUGONGO SECONDARY & VOC.

SCHOOL
P.O.BOX 10439, KAMPALA
TEL: 0393-217-503 / 0772-989-754 / 0774-372663 /
0701-362966

APPLICATION FORM FOR ADMISSION TO S. 1 /2021

(FILL THIS FORM IN BLOCK LETTERS)


NAME ………………………………………………………….……………………………………………………………….
(Maintain name and order you used for P.L.E.) P.L.E INDEX NO…………………………………..…...
DATE OF BIRTH …………………………………………… SEX………………………………
AGE …………………RELIGION……………………..…………………………………………. Photo
NATIONALITY …………………………………………………………………………………….
HOME DISTRICT …………………………………………………………………………………
FORMER SCHOOL …………………………………………………………………………………………………………………………

SUBJECTS P.L.E. RESULTS YEAR OF SITTING

ENGLISH
MATHS
S.S.T.
SCIENCE
AGGREGATE
DIVISION

Any Co-curricular activities


………………………………………………………………………………………………………………………………………………….

Any special Medical Condition…………………………………………………………………………………………………….

When were you last vaccinated …………………………………………………………………………………………………...


BACKGROUND
Father’s name …………………………………………………………………………….Tel. No…………………………………………….
Email……………………………………………..........................NIN…………………………………………………………………………
Mother’s name …………………………………………………………….………………Tel. No………………………………………………
Email……………………………………………..........................NIN…………………………………………………………………………

Guardian
Next of kin’s (name) ………………………………… …….…Tel. ………….…………………NIN………………………………
This form should be filled and returned.
APPLICANT’S SIGNATURE ………………………………………………………………………………………………………………
PARENT/GUARDIAN’S SIGNATURE……………………………………………………………………………………………………
Please return this form as soon as possible on any of the following email addresses:aweefrancis16@gmail.com,
jacksonmud2020@gmail.com, mukasajohnbraxton@yahoo.com

You will be required to pay application fee of 40,000/= (non refundable) and this will cater for admission as well.
Account Number: 9030005954389, Account Name: Namugongo Secondary & Voc. School, Stanbic Bank

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