APPLY ONLINE FOR FORM ONE (SENIOR ONE) STUDENTS Senior One Entry 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 Names:Date of Birth: *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender: *MaleFemaleReligion: *Nationality: *Home District: *Country: *Sub-County: *Year of PLE Sitting: *PLE Index Number: *e.g. 003301/368PLE School: *1st Choice School: *Learner's Identification Number (LIN):Attach your Photo: Drag & Drop Files, Choose Files to Upload Upload your passport size photoB. PLE RESULTSMathematics: *Your Mathematics GradeLabel: D1 - Value: 1Label: D2 - Value: 2Label: C3 - Value: 3English: *Your English GradeLabel: D1 - Value: 1Label: D2 - Value: 2Label: C3 - Value: 3Science: *Your Science GradeLabel: D1 - Value: 1Label: D2 - Value: 2Label: C3 - Value: 3Social Studies: *Your SST GradeLabel: D1 - Value: 1Label: D2 - Value: 2Label: C3 - Value: 3TOTAL: *DIVISION:Select Your Division ScoreDIV IAttach your PLE documents (Pictures or Documents) * Drag & Drop Files, Choose Files to Upload Upload picture or documents of your PLEC. PARENT/GUARDIAN'S INFORMATIONFather's Name: *Father's Occupation: *Father's Residence: *Father's NIN: *Father's Telephone: *Father's Telephone 2:Father's EmailMother's Name: *Mother's Occupation: *Mother's Residence: *Mother's NIN: *Mother's Telephone: *Mother's Telephone 2:Mother's EmailGuardian's Name:Guardian's Occupation:Guardian's Residence:Guardian's NIN:Guardian's Telephone:Guardian's Telephone 2:Guardian's EmailDeclaration *I confirm the information given is correct to the best of my knowledge.Submit Application
