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HARVARD EA SECONDARY REGISTRATION FORM
1. Name of the student:
2. Date of Birth:
3. Place of Birth:
4. Postal Address:
5. Religion:
6. Year of Completion Std. 7:
7. Name of the Primary School:
8. Name of the Father/Guardian:
Name:
Occupation:
Place of work:
Tel. No:(Start with 0) THIS IS THE PHONENUMBER WE WILL USE TO CONTACT YOU
9. Name of the Mother/Guardian:
Name:
Occupation:
Place of work:
Tel. No:
Enter the GRADE 7 INDEX NUMBER
10. Examination will be conducted in English and students will be tested in the following subjects:
MATHEMATICS, ENGLISH LANGUAGE & SCIENCE.
B. FOR PARENTS / GUARDIAN
1. I here by agree to abide by all the rules and regulations of the school
2. I hereby agree to pay the school fees every semester and see that all his needs are catered for.
C. FOR THE STUDENT
If I am selected to join the school, I promise to abide by all the rules and regulations.
Student Passport size Photo
Harvard We Enter To Learn, Leave To Achieve :