Nyanga Marist Brothers High School

Admission Form

Section A: Student Information

Full Name

Date of Birth

Place of Birth

Gender

Nationality

Religion/Denomination

Home Address

Previous School Attended

Current Grade/Form Applying For

Intake Year

Section B: Parent/Guardian Information

Father/Guardian

Full Name Occupation Employer National ID/Passport No. Mobile Number Email Address

Mother/Guardian

Full Name Occupation Employer National ID/Passport No. Mobile Number Email Address

Residential Address (if different from student)

Section C: Academic Information

Last Grade/Form Completed

Year Completed

Average/Overall Result

Examination Results / Notes

Section D: Medical Information

Blood Group

Allergies (if any)

Chronic Illnesses/Disabilities

Doctor’s Name

Doctor’s Contact Number

Emergency Contact (other than parents)

Relationship

Emergency Phone

Section E: Boarding Information

Boarding Status

Special Dietary Requirements

Section F: Attachments

Attach scanned copies (PDF/JPG/PNG). Max size depends on your server/plugin settings.

Birth Certificate

Latest Report/Results Slip

Parent/Guardian National ID (copy)

Two Passport-Size Photos

Section G: Declaration

Parent/Guardian Name

Student Name

Date

I confirm that I have read and agree to the school’s rules and regulations.

Nyanga Marist Brothers High School

Father/Guardian

Mother/Guardian

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