Senior One Admission Application Form

Welcome to the Revival Girls High School Senior One (1) Admissions Application.

Interested applicants with a First or Second Grade are eligible for admission upon fully completing and submitting the form below.

By submitting an application, the applicant agrees to comply with the terms and conditions outlined at the end of the application form below.

APPLICANT DETAILS

Applicant's (Student) First Name

Applicant's (Student) Middle Name

Applicant's (Student) Surname Name

Applicant's (Student) Date of Birth

Applicant's (Student) Former Primary School

Applicant's (Student) PLE Index Number

Applicant's (Student) LIN (Student Identification Number)

PLE RESULTS

English
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Mathematics
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Science
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Social Studies
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Upload PLE Results (Upload a screenshot/photo of the PLE Results SMS from UNEB or a Scanned Copy of the Results Slip. Applicant's full name and index number should be clearly visible)

PARENT(S) OR GUARDIAN(S) DETAILS

Parent's Full Name

Parent's (NIN National Identification Number)

Parent's Telephone Contact

Parent's Email

TERMS AND CONDITIONS:

• By submitting this application, the applicant and their parent/guardian confirm that all information provided is accurate and complete.
• Revival Girls High School reserves the right to verify submitted details and may revoke admission if false or misleading information is detected.
• Submission of an application does not guarantee admission, as selection is based on merit, available spaces, and the school’s admission policies.
• All personal data provided will be handled with confidentiality and used solely for admission purposes.
• Upon admission, a commitment fee of One Hundred Thousand Shiilings (UGX100,000) is required before issuance of the admission letter.
• By proceeding, the applicant agrees to abide by the school’s rules and regulations if admitted.

I confirm that I have read, understood, and agree to the terms and conditions of this application. I certify that the information provided is accurate and complete, and I acknowledge that any false or misleading information may result in disqualification or revocation of admission.

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