GASHORA GIRLS ACADEMY OF SCIENCE AND TECHNOLOGY

Educate, Inspire,Transform

Gashora Sector, Bugesera District, Eastern Province, RWANDA 0788757447/0785328414

2019

FINANCIAL AIDFORM


Urupapurorwogusabaubufasha

Name ofstudent:

(Family name)(Givenname)

Izina ry’umunyeshuriAndimazina

Date of Birth:_how much were you paying last year?

Itariki y’amavukoIkigoyigaho

Year enrolling for 2019 (encircle): S4S5S6

Umwakaazigamo (shyiramuruziga)

Family’s information andIncome:

Father’s Name:Living? Y / N Tel Numbers: ______

Amazinaya seariho?

Father’s placeofwork( company)Father’s netincome:

Aho akorera:Ayo yinjizakukwezi

Father’s other income (house rent, farming, small business, pension,etc...): ____

Andi mafarangaabona (Inzuikodeshwa, inka, ubuhinzi,nibindi)

Mother’s Name:Living? Y / N Tel.Number ___

Amazina ya nyinaariho?

Mother’s placeofwork( company)Mother’s netincome:

Aho akorera:Ayo yinjizakukwezi

Mother’s other income (house rent, farming, small business, pension, etc...):

Andi mafarangaabona (Inzuikodeshwa, inka, ubuhinzi,nibindi)

Name of other person sponsoring the student ifany:Amount sponsorcontributes:

Amazina y’umutera nkunga:Amafarangaumuterankungaatanga

Do you ownahome?Do you own acar?

Mufite inzu ?MutunzeImodoka?

Income from relatives/amafarangayakirwaaturutsemubavandimwe:

FAMILY’SEXPENSES

IBIKORESHWA MU MURYANGO

Children in the family/Abana b’umuryango

Names Amazina: / Date of Birth/Itarikiy’amavuko: / School and grade in 2018/Ahoyigan’umwakayigamo muri 2018 / School fees per term/Amafarangay’ishurikugihembwe:

Monthly expenses (list the items)/ Andi mafarangaakoreshwakukwezi (kora urutonderwabyo):

1.Family food costs per month/amafarangay’ibiribwakukwezi:_

2.Rent if renting /ubukodenibamukodesha:______

3.Utilities/amashanyarazin’amazi:______

4.Loans if any/Inguzanyo muri bank nibaihari:______

Others/ibindi:

1.

2.

3.

GGAST has the right to obtain documents regarding all information given here. GGAST also conducts random home visits to verify all of the information is correct. Providing false information may result in legal proceedings against you, GGAST reserves the right to dismiss the student and take further legal action against fraud in accordance with the law.

We declare that the information on this form is true, correct, and complete. GGAST has our permission to verify the information reported.

Twemeje ko amakurudutanzeariyo. Twemereye GGAST gukoraubugenzuzihaba mu rugocyangwa se mu mabanki mu rwegorwogukurikirana ko ayamakuruariimpamo.

Mugihebigaragaye ko ayamakuruatariukuri, GGAST yemerewekudukurikirana mu nzegoz’ubutaberan’umwanaakabayaburaumwanya.

Father’s Signature:Date:

Umukono wa Papa W’umunyeshuriItariki

Mother’s Signature:Date:

Umukono waMama W’umunyeshuriItariki

Signature of Student:Date:

Umukono w’umunyeshuriItariki