form ya kujiunga form one BOYS 2013

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					                             P.O. BOX 222, MWANGA, KILIMANJARO TANZANIA
                      TEL/FAX: 027 2756848, MOBILES: 0713 310 229, 0716 696384, 0717 168331
                                  Website: www.greenbirdinstitutions.org




Namba ya fomu………………………….


MAELEZO YA KUHUSU KUJIUNGA NA KIDATO CHA KWANZA MWAKA 2013

A: GREENBIRD BOYS HIGH SCHOOL
   1. Shule iko mkoa wa Kilimanjaro- wilaya ya Mwanga, Km 1.5 kutoka barabara kuu
      ya Dar-es Salaam-Arusha. Shule ni ya wavulana tu nani ya Bweni (Boarding
      school). Shule haina ubaguzi wa dini. Inachukua watoto wa madhehebu yote.

   2. School Motto: SKY IS OUR LIMITZ5.

B: YAHUSIYO MWANAFUNZI
   1. JinaKamili ……………………………………………………………………………
   2. Tarehe ya kuzaliwa …………………………………………………………………...
   3. Taifa ………………………………Kabila……………………………………………
   4. Mkoa ………………………………Wilaya ………………………………………….
   5. Dini ……………………………….. Dhehebu ……………………………………….
   6. Mahali unapoishi ………………………………………………………………………

C: YAHUSIYO MZAZI/ MLEZI
   1. Jina la Mzazi / Mlezi ………………………………………………………………….
   2. Anuani ya Nyumbani ………………………Namba ya simu ………………………..
   3. Anuani ya Kazini …………………………..Namba ya simu ………………………...
   4. Kazi yake ………………………………………………………………………………
   5. Jina la Mama / Mlezi …………………………………………………………………..
   6. Anwani ya Nyumbani ………………………Namba ya simu ………………………..
   7. Anwani ya kazini ……………………………Namba ya simu ……………………….
   8. Kaziyake ………………………………………………………………………………

D: MAAGIZO MENGINE
   1. Malipo ya form hii ni shilingi elfu kumi na tano (15,000/=) tu, zinalipwa zote
      wakati wa kuchukua form. Fedha za form zikishalipwa hazirudishwi. Hakikisha
      unapatiwa risiti. Tunza risiti yako kwani ndicho kitambulisho chako cha mtihani.
E: TAREHE YAKUFANYA MTIHANI
   1. Mtihani utafanyika tarehe 27/10/2012 siku ya jumamosi saa 2:00 asubuhi .
      MAHALI – MSIMBAZI CENTRE (Primary school) Dar es Salaam.
   2. Mwanafunzi afike na vifaa vya kufanyia mtihani mfano; Kalamu, rulan.nk.
   3. Wanafunzi wote wavae sare za shule ya msingi.
   4. Tarehe ya mwisho ya kurudisha form ni tarehe 20/10/2012 na rudisha form kwa
      aliyekuuzia form hii.

Weka alama (v) katika lugha utakayo fanyia mtihani
KISWAHILI                                  KINGEREZA


F: AHADI KWA MZAZI
    1. Naahidi kuwa kijana wangu akichaguliwa itabidi aafwate taratibu na maagizo ya
       mwenye shule ya takayo tolewa mara kwa mara ili kuboresha taaluma.
    2. Nakubali kumlipia karo (Ada) ya shule na kumpatia mahitaji mengine yatakayo
       hitajika Shuleni.
    3. Iwapo kijana wangu atafaulu mtihani na kuchaguliwa kujiunga na shule na ahidi
       kulipa kiasi cha Sh 50,000/= kama “Commitment Fees” ili kutunza nafasi ya
       mototo.
       Sahihi ……………………………………Tarehe …………………………………………


      …………………………………….
      PETER MWAU
      MKUU WA SHULE
      GREEN BIRD BOYS HIGH SCHOOL.
REF: KDTF/GBB/JNF/2013Form No. ……….
                 JOINING FORM FOR ACADEMIC YEAR 2013

  1. Name of applicant ………………………………………..
      Other names………………………………………………
  2. Surname ………………………………………………….                                                Passport size
  3. Your primary school ……………………………………..
  4. Nationality ……………………………
  5. Date of Birth ……………………. Age …………………
  6. Address …………………………..
      (District)………………………………….....
      (Region)……………………………………
  7. Parent occupation…………………………………………..
  8. Emergence contacts
      Name……………………………………………………….
      Phone No.1 ………………………..
      Phone No.2 ………………………..
      Relationship…………………………………………………
  9. Religion ………………………………
  10. Medical information
      Physician name……………………………
      Phone No…………………………………
      Allergies (if any)…………………………………
      Medications (if any)…………………………………

  11. Interview will take place at MSIMBAZI CENTER, subjects for interview will be
      Mathematics, Language & Maarifa ya jamii (social studies). Exams will resume at 8:00
      am to 10:00 am. All students should put on their school uniforms on interview day.
      Parents/ Guardians will be informed on the interview date.
12. Parents declarations
    I …………………………………………. Parent/Guardian of named above students
    declare to seek the form………class for the academic year 2013 and that I am willing to
    cooperate with the school in all admission instructions that will be provided to me.
    Signature……………………… date……………………………..
         This form cost TZS 10,000/- only and not otherwise ask for receipt when you buy it.
            Return the form where you bought or you can post it through above address.

				
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posted:10/23/2012
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