Tanzania Parents Association

TANZANIA PARENTS ASSOCIATION.

PASS PORT SIZE
PHOTOGRAPHS

META HIGH SCHOOL,

P.O. Box 227,

MBEYA.

Tel: 025-2502891 /0754-370879/ 0753-347660 /0784- 347423

0753-439421

Fax: 025-2502454.

Web: www.metahighschool.sc.tz

Email:

Ref. NO. JW/SSM/S.231/32/VOL.10/

……………………………………..,

…………………………………….,

…………………………………….

APPLICATION FOR FORM FIVE (V) FOR THE YEAR 2014/2015

1. This form should be filled in carefully. Dishonest or incomplete information shall

disqualify the application.

2. When submitting this form .you MUST attach

(a) TWO pass-port size photographs

taken recently.

(b) Copies of documents showing your academic qualification e.g. examination result

slip for form four, Leaving certificate and etc.

3. PERSONAL RECORDS

(i) Name of the applicant …………………………………………. Sex ………………

(ii) Date of Birth ………………………………………….. District ……………………

Region ………………………………………… Country …………………………..

Nationality ……………………………………………………………………………

(iii) Home Address ………………………………………………………………………

………………………………………………………………………

Telephone if any ……………………………………………………

(iv) Parents: Name of father …………………………… Telephone ………………….

Name of mother ………………………….. Telephone ………………….

Name of guardian ………………………… Telephone ………………….

Occupation of a parent/guardian …………………………………………..

4. ACADEMIC RECORD:

(i) School Attended

(a) Primary school (name) ………………..……….. from ………… to ………….

(b) Secondary school (name) ……………………….. from ………… to …………

(ii) National form four examination results

(a) 1st sitting as a school candidate

Subject Score in grade

(i) …………………………………………… ………………………….…

(ii) …………………………………………… …………………………….

(iii) …………………………………………… .……………………………

(iv) …………………………………………… ………………………….….

(v) …………………………………………… ………………………….…

(vi) …………………………………………… …………………………….

(vii) …………………………………………… …………………………….

(viii) …………………………………………... …………………………….

(ix) …………………………………………… …………………………….

Division obtained ……………………………….Point ………………………

Year ……………………………………Examination number ………………

Name of the School …………………………………………………………

(b) 2nd sitting as a private candidate.

Subject Score in grade

(i) ..………………………………………….. ………………………

(ii) …………………………………………… ………………………

(iii) …………………………………………… ………………………

(iv) …………………………………………… ………………………

(v) …………………………………………… ………………………

(vi) …………………………………………… ………………………

(vii) …………………………………………… ………………………

Division obtained ………………………….. Point …………………….

Year ……………………………… Name of the centre ………………..

Examination number …………………………………………………….

combinations available at school)

(d) The following are the combinations available at the school.

(i) HGK (History, Geography, Kiswahili)

(ii) HGL (History, Geography, English)

(iii) HKL (History, Kiswahili, English)

(iv) HGE ( History, Geography, Economics)

(v) EGM (Economics, Geography, Mathematics)

(vi) ECA ( Economics, Commerce, Accountancy)

(vii) PCB (Physics, Chemistry, Biology)

(viii) PCM (Physics, Chemistry, Mathematics)

(ix) CBG (Chemistry, Biology, Geography)

(x) PGM (Physics, Geography, Mathematics)

(xi) CBM (Chemistry, Biology, Mathematics)

(xii) PGE (Physics, Geography, Economics)

(xiii) CBN (Chemistry, Biology, Nutrition)

5. This form should be returned immediately after filling in the information

required.

R.L. Njegite.

The Headmaster