MASHERUKA GIRLS' SEC. SCHOOL.

HARD WORK PAYS.

P.O BOX 86, KABWOHE - SHEEMA | Tel: 0784836841/0784836354

ONLINE APPLICATION FORM

INSTRUCTIONS! Please fill in all sections.

1. STUDENT PERSONAL INFORMATION

Passport Photo

Supported formats: JPG or PNG, max 2MB

Preview:

First Name

Please enter your first name

Last Name

Please enter your last name

Gender

Please select your gender

Date of Birth

Please select your date of birth

Nationality

Please select your nationality

Religion

Please select your religion

District of Origin

Please enter your district of origin

Subcounty

Please enter your subcounty

Village

Please enter your village

Previous School Attended

Class Completed

2. PARENT/GUARDIAN INFORMATION

Father's Full Name

Please enter father's name

Father's Telephone

Please enter father's telephone

Mother's Full Name

Please enter mother's name

Mother's Telephone

Please enter mother's telephone

Guardian's Full Name (If applicable)

Guardian's Telephone

Parent/Guardian Address

Please enter parent/guardian address

Parent/Guardian Email

Please enter a valid email address

3. ACADEMIC INFORMATION

Class Applying For

Please select class applying for

Year of Admission

Preferred Combination

O-Level (UCE) Results Slip/Transcript (Upload)

For Senior 5 and Senior 6 applicants - PDF, JPG, or PNG format, max 2MB

4. PLE RESULTS (All Applicants)

PLE Index Number

Please enter your PLE index number

Previous School (P7)

Please enter your P7 school

PLE Grade/Division Obtained

Please enter your PLE grade/division

PLE Aggregate

Year of Completion (PLE)

Please enter your completion year

Subject	Grade

5. UCE RESULTS (S5/S6 Applicants)

UCE Index Number

Please enter your UCE index number

UCE Completion Year

Please enter your UCE completion year

Subject	Grade

6. DOCUMENT ATTACHMENTS

All attachments except passport photo will be stored in other_attachments (JSON). Each file max 2MB, PDF/JPG/PNG.

PLE Recommendation Letter (Required for S1 & S5)

Required for S1 and S5 applicants; optional otherwise - PDF, JPG, PNG format, max 2MB

Other Supporting Documents (Optional, multiple)

Optional supporting documents - PDF, JPG, or PNG format, max 2MB each

7. MEDICAL INFORMATION

Any Disability? (If yes, specify)

Chronic Illness (If any)

Regular Medication (If any)

8. ADDITIONAL INFORMATION

Talent(s)

Describe your hobbies and interests How did you get to know about MASHERUKA GIRLS' SEC. SCHOOL.? Any questions or comments

How do you want us to contact you for further information and admission progress?