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Learner's Application Form - Victoria Mutundwe Primary School
Learner's Picture
Learner's Name
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Date of Birth
Gender
Male
Female
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Previous School
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Day Scholar
Boarding
Special illness (if any)
Can this illness affect the child's performance with vigorous exercise?
First Aid given
PARENT/GUARDIAN INFORMATION
Parent's Name
Email Address
Village
Place of work
Contact(Mobile)
Contact(Office - if any)
Residence
Occupation
Next of keen (Name)
Contact (Next of keen)