Kibangu Ruge School
PASSPORT SIZE PHOTO (2)
KIBANGU RUGE ENGLISH MEDIUM SCHOOL
Off Mandela Road at Riverside, Ubungo
P.O. Box 32560 Dar es Salaam, Tanzania
Phone: 0742 557677 / 0717 557627
Website: www.kibangurugeschools.ac.tz
Email: director@kibangurugeschools.ac.tz
Director: Prof. Josephat M. Rugemalira
Patron: Prof. Geoffrey Minari
NURSERY & PRIMARY ADMISSION FORM
1. CHILD'S NAME
(Jina la Moto)
Please provide child's name
2. GENDER
(Jinsia)
Please select gender
3. DATE OF BIRTH
(Tarehe ya kuzaliwa) [ATTACH COPY OF BIRTH CERTIFICATE - AMBATISHA NAKALA YA CHETI CHA KUZALIWA]
Please provide date of birth
4. RESIDENTIAL ADDRESS
(Mahali anapoishi)
Please provide residential address
5. PHONE NUMBER
(Simu)
Please provide mobile number
Please provide valid phone number
6. E-MAIL ADDRESS
(Barua pepe)
Please provide a valid email address
7. CITIZENSHIP
(Uraia)
8. GRADE FOR ADMISSION
(Darasa)
Please select grade for admission
9. PREVIOUS SCHOOL
(Shule atokayo)
10. PARTICULAR PROBLEMS
(Matatizo ya pekee)
11. PARENTS/GUARDIANS
(Wazazi/Walezi)
(a) Name
(Jina)
Please provide father's name
Relation
(Uhusiano)
Occupation
(Kazi)
(b) Name
(Jina)
Please provide mother's name
Relation
(Uhusiano)
Occupation
(Kazi)
12. I have read the joining instructions and I fully agree my child to join this school and pay all fees according to the payment schedule and installments outlined.
(Nimesoma maelezo yote na ninakubali kumuandikisha moto wangu katika shule hii na kulipa gharama zote za ada na mengineyo kulingana na ratiba za malipo kwa awamu)
PARENT'S/GUARDIAN'S SIGNATURE
(Sahihi ya mzazi/mlezi)
DATE
(Tarehe)
Supporting Documents
(Nyaraka za usaidizi)
Upload birth certificate and other relevant documents (PDF, JPG, PNG)