APPLY ONLINE FOR FORM FIVE (SENIOR FIVE) STUDENTS Senior Five Application Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.A. PERSONAL DATAFirst Name *Surname *Other NamesDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleLearner's Identification Number (LIN):Religion *Nationality *Country *Home District *Sub-County *B. UCE RESULTSUCE Centre School *Index Number *Year of Sitting UCE *Was Ndejje SSS your 1st Choice School? *select yes or noYesNoAttach your Photo Drag & Drop Files, Choose Files to Upload Upload your passport size photoUCE RESULTSEnglish *Select Correct Subject GradeABMathematics *Select Correct Subject GradeABBiology *Select Correct Subject GradeABChemistry *Select Correct Subject GradeABPhysics *Select Correct Subject GradeABHistory *Select Correct Subject GradeABGeography *Select Correct Subject GradeABProject Work *Select Correct Project GradeABCSUBJECT 8 *Name of SubjectSubject 8 Grade *Select Correct Subject GradeABSUBJECT 9 *Name of SubjectSubject 9 Grade *Select Correct Subject GradeABSUBJECT 10 *Name of SubjectSubject 10 Grade *Select Correct Subject GradeABUCE RESULT *Choose Your Result11st Choice Combination *Considering only subjects where you have As or Bs2nd Choice Combination *Considering only subjects where you have As or Bs3rd Choice Combination *Considering only subjects where you have As or BsAttach the U.C.E Results or any other recommendation (Pictures or Documents) * Drag & Drop Files, Choose Files to Upload Upload picture or documents of your UCEC. PARENT INFORMATIONFather's Name *Father's Occupation *Father's Residence *Father's NIN *Father's Telephone *Father's Email *Mother's Name *Mother's Occupation *Mother's Residence *Mother's NIN *Mother's Telephone *Mother's EmailGuardian's NameGuardian's OccupationGuardian's ResidenceGuardian's NINGuardian's TelephoneGuardian's Email Who among your parent’s is an Old Student of Ndejje S.S.S? *Has any of your siblings been a student of Ndejje S.S.S? If yes, mention the name(s) *Name of person /organization that pays your fees. *Indicate the co-curricular activities you participate in *Declaration *I confirm the information given is correct to the best of my knowledge.Submit Application
