JOLLY-MERCY LEARNING CENTRE, NANGABO   

APPLICATION FORM FOR NEW ENTRANTS 

1. Date of applying: …………………………………………………………………………… 2. Names of the child: First Names……………………………………………     

Surname………………………………………………………………………… 3. Date of birth……………………………………………………………………… 4.

Nationality……………………………………………………………………….. 5. Religion …………………………………………………………………………. 6.

Class……………………………………………………………………………… 7. Previous schools attended ……………………………………………………. 8. Names of parents / Guardian 

(i)   Father …………………………………………..      (ii)  Mother …………………………………………..      (iii) Guardian………………………………………… 9. Village

………………………………………………………………………….. 10 .Contact address……………………………………………………………… 11. Mobile Number

……………………………………………………………… 12. Next of kin, not one of the parents or guardian        ……………………………………………………………………………………..

13. Relationship to the next of kin …………………………………………….. 14. Contact address of the next of kin  …………………………………………….

……………………………………….. 15. How did you get to know our school?  ……………………………………………………………………………………………… Declaration:

I………………………………………………………………do declare that the information given above is true and correct. Date……………………………  

 

N.B. Please remember to bring two passport photos and a copy of immunisation card  

 

Jolly Mercy Learning Centre – Application forms 1