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    Form 1 Admission Application (SE2)

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    The document is an application form for junior secondary school placement in Botswana. It collects information such as the applicant's name, date of birth, address, primary school attended, and preferred junior secondary schools. The applicant's parent/guardian must also provide their details and sign the form. The primary school head must also sign off on the application and provide any additional details.

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    Form 1 Admission Application (SE2)

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    1K views4 pages
    The document is an application form for junior secondary school placement in Botswana. It collects information such as the applicant's name, date of birth, address, primary school attended, and preferred junior secondary schools. The applicant's parent/guardian must also provide their details and sign the form. The primary school head must also sign off on the application and provide any additional details.

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    Form 1 Admission application (SE2)

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    The document is an application form for junior secondary school placement in Botswana. It collects information such as the applicant's name, date of birth, address, primary school attended, and preferred junior secondary schools. The applicant's parent/guardian must also provide their details and sign the form. The primary school head must also sign off on the application and provide any additional details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views4 pages

    Form 1 Admission Application (SE2)

    Uploaded by

    true
    The document is an application form for junior secondary school placement in Botswana. It collects information such as the applicant's name, date of birth, address, primary school attended, and preferred junior secondary schools. The applicant's parent/guardian must also provide their details and sign the form. The primary school head must also sign off on the application and provide any additional details.

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    © All Rights Reserved
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    MINISTRY OF BASIC FORM SE2

    EDUCATION

    Republic of Botswana

    APPLICATION FOR JUNIOR SECONDARY SCHOOLS

    FORM ONE PLACEMENT

    The completed form must be submitted to the Regional Education Office by the 31st

    March

    SECTION A

    To be completed by the applicant

    1. Surname: ……Mahambo………………………….. 2. First name (s) ………Kudakwashe Collen.......

    (NB: Names should appear as in recognized official documents such as birth certificate/identity
    documents)

    2. Date of birth: ……20 December 2008………… 3. Sex: Male… ✔ ……/Female………


    4. Birth Certificate No / Registration No:……………… 2 0 ……
    …… …… 6 ……
    2 ……..
    2 7 4

    5. Postal Address\Home Address 6. Residential Address (Ward/Kgotla/Street)

    ……P.O. Box 740 ABG ………….. ……Plot No. 38049…………………

    ……Sebele…………..………………. ……Block 6……………………………

    ……Gaborone………………………. ……Gaborone………………………

    ……………………………………………. ……………………………………………

    Town/Village: ……Gaborone…………………………………..

    7. Name of Primary School

    …… Nanogang Junior Secondary School (CJSS) ………

    8. Town/Village: ……Gaborone……………………………….

    1
    FORM SE2

    9. Exam Centre No.:…… ………


    2 ……
    7 ………
    1 5

    0 1 1 7
    10. Candidate Exam No.. … ………………

    SECTION B

    To be completed by the Parent/Guardian of the applicant.

    In the case of a parent/guardian who knows that he/she will be relocating or seeking
    admission outside the catchment area, a covering letter and supporting documentation
    (evidence) should be attached/included.

    11. Surname: …………Mahambo………………………….. 2. First name (s) ……Collen Tichaona..........

    13. Relationship to Student: ………Father……………………. E.g. (Uncle)

    14. i. Contact Address

    ………P. Box 740 ABG, Sebele, Gaborone…………

    ………Plot No. 38049, Block 6, Gaborone………..

    …………………………………………………………..

    ii. Tel (if any)

    Work: ……3957795…………………………… Home: ………N/A………………………

    Mobile No. : ………74572262/77309365……………………..

    15. Name of Junior Secondary School nearest the place you live (in order of preference where you would
    like your child to attend)

    i. … Nanogang Junior Secondary School (CJSS)

    ii. … Bonnington Community Junior Secondary School

    iii. …St Joseph’s Secondary School……………………………

    2
    FORM SE2

    16. i. Has the applicant to your knowledge sat for Junior Certificate Examination before?

    Yes: ………. No: … ✔…..


    ii. If Yes: Provide the following details

    CJSS :…………N/A……………

    Years: …………N/A…………..

    Grade …………N/A…………..

    17. I declare that the information supplied in Section A and B is correct to the best of my knowledge.

    18. Signature: ……… …………………….. Date: ………20 December 2021………………………….

    SECTION C

    To be completed by School Head.

    19. i. Does the applicant have any physical handicap/special needs? Yes:………../ No: …………….

    ii. If yes provide details

    ………………………………………………………………………………………………………………………………………………………

    ………………………………………………………………………………………………………………………………………………………

    ………………………………………………………………………………………………………………………………………………………

    20. Does the applicant to your knowledge have any criminal records: Yes:……………… / No……………………

    21. i. Has the applicant to your knowledge sat for the Junior Secondary Examinations before?

    Yes: ............/No: ………….

    ii. If yes : Provide the following details

    Previous Exam No.: …………………………………

    CJSS : ……………………………………………………

    Year : ……………../……………../ 20………………

    Grade ……………………………………………………

    3
    FORM SE2

    22. Any additional information

    ………………………………………………………………………………………………………………………………………………………

    ……………………………………………………………………………………………………………………………………………………..

    ……………………………………………………………………………………………………………………………………………………..

    I declare that the information applied is correct to the best of my knowledge

    Name of School: .....................................................

    Name of School Head: …………………………………………

    Signature: …………………………………………….

    Date: ………………/……………/ 20…………

    School Stamp

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