Student Application Form

Applications requirements include;

Photocopy of UNEB results slip.
Photocopy of the applicant's baptism card (where applicable).
Recommendation from the former school.
Passport-size photo of the applicant.

NB: Please attach the above to the form or send copies to the school email address stellamariscollege@yahoo.com or WhatsApp number listed at the bottom.

Personal Information

Surname *Your Surname

Other Name *Other name

Class *

Gender *

Date *

UNEB results

Most recent former school (UNEB Centre name)

Index Number: *

Most recent Exams

Results

Preferred Combination (A level)

Preferred Section

Parent’s/Guardian’s information

Father (Fill in if alive)

Name *

Phone contacts *

Email Address

Home Address

Occupation

Place of work

Mother (Fill in if alive)

Name

Phone contacts

Email Address

Home Address

Occupation

Place of work

Sponsor (Whoever is responsible for paying fees)

Name

Phone contacts

Email Address

Home Address

Occupation

Place of work

Health IssuesMention any defects e.g. eyes, hearing, asthma, heart problems, etc. that the applicant may have.

CO- CURRICULAR ACTIVITIES:Indicate the co-curricular activities you participated in

Payment of application fees of UGX. 50,000 can be made by Mobile money to 0772 891140.
Furthermore forward a any attachments of your results slip to any of this WhatsApp numbers 0701 085429, 0705 238712 or 0773 292844.

For inquiries please call any of these numbers: 0785 163856, 0701 085429, 0705 238712 and 0773 292844.

Add attachments here.

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Declaration

By submitting the data you declare that the information provided above is true and authentic to the best of your knowledge.

Stella Maris College

NSUUBE – Love and hold the truth

Student Application Form

Personal Information

UNEB results

Parent’s/Guardian’s information