ST LUCIA HILL SCHOOL NAMAGOMA
ONLINE APPLICATION FORM
Student Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Male
Female
N/A
Back
Next
Section to be admitted to
*
Day
Boarding
Nationality
Religious affiliation
Former school
*
Learner Identification Number (LIN)
PLE results
Rows
Results
English
Mathematics
Social studies
Science
Back
Next
UCE Results slip(attach)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Parents/ Guardian's Data
Name
*
First Name
Last Name
Occupation
Residence
Place of work
NIN
*
Contacts
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Next of Kin (State clearly)
Name
First Name
Last Name
Occupation
Residence
Place of work
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Do you have any healthy or dietary problems? (If yes, specify)
How did you know about St Lucia Hill School?
*
Submit
Should be Empty: