Cream Land Academy Student Admission Form

1. STUDENT INFORMATION | Amakuru y'Umunyeshuri

Student Full Name | Amazina y'Umunyeshuri *

Gender | Igitsina *

Date of Birth | Igihe yavukiye *

Nationality | Ubwenegihugu *

SDMS Code | Kode ya SDMS

Class Applying For | Ishuri Umusabira*

Previous School Name | Ikigo yigagamo

Previous Class | Umwaka avuyemo

Student Religion | Idini

Mother Tongue | Ururimi Kavukire *

2. PARENT / GUARDIAN INFORMATION | Amakuru ku babyeyi n'Abahagarariye Ababyeyi

Father’s Full Name | Amazina ya Se

Father’s ID No | Irangamuntu ya Se

Father’s Phone | Telefone ya Se

Mother’s Full Name | Amazina ya Nyina

Mother’s ID No | Irangamuntu ya Nyina

Mother’s Phone | Telefone ya Nyina

Guardian’s Name | Amazina y' Uhagarariye ababyeyi

Primary Phone Number * | Telefone ya mbere

Secondary Phone Number | Telefone ya Kabiri

Email Address | Imeyili*

3. RESIDENTIAL ADDRESS | Aho umwana atuye

Village | Umudugudu

Cell | Akagari

Sector | Umurenge

District | Akarere

Province | Intara

4. EMERGENCY CONTACT INFORMATION | Nimero twahamagara mu gihe umwana agize ikibazo

Emergency Contact Person | Umuntu twahamagara mu gihe Umwana agize ikibazo

Relationship to Student | Isano afitanye n'Umunyeshuri

Emergency Phone Number | Telefone twahamagara mu gihe umwana agize ikibazo

5. MEDICAL INFORMATION | Amakuru ajyanye n'ubuzima bw'Umwana

Type of Health Insurance | Ubwishingizi mu kwivuza

Does the student have any allergies? | Hari uburwayi umwana afite?

Medical Conditions | Uburwayi Umwana afite

Special Learning Support Required | Ubufasha bwihariye Umwana akeneye

6. REQUIRED DOCUMENTS | Ibyangombwa bikenewe (Father's ID, Mother's ID, Student's Report Cards, Medical Condition Proof etc.) | Irangamuntu ya Se, Irangamuntu ya Nyina, Indangamanota, Icyemezo cy'Umuyobozi w'Ishuri, Ibyemezo by'ubuzima n'ibindi

You can send PDF, JPG, JPEG, DOC, or DOCX files | Maximum total size: 10MB (Ushobora kohereza inyandiko zirenze imwe, ariko ububiko bwazo ntibugomba kurenga megabayiti 10.)

7. DECLARATION | Emeza Amakuru

I certify that the information provided in this application form is true and correct to the best of my knowledge. (Ndemeza mbikuye ku mutima ko amakuru natanze muri iyi fomu ari ukuri kandi ari impamo.) *

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The student's Application Form has been received successfully. Our admissions team will review your application and contact you shortly.

CREAM LAND ACADEMY