St. Luke Jemedza High School - Official Application

Member of Philadelphia Mission in Africa Trust

Official Application Form

"Educating for Eternity"

1. Student

2. Schooling

3. Parents

4. Health

Student Particulars

Surname

First Name(s)

Date of Birth

Place of Birth

Gender

ID Number

Religious Denomination

Form Applying For

Academic Background

Previous School Attended

School Address & Tel

How did you hear about us?

Birth Certificate (Required)

Select File

Parent / Guardian Information

Father's Details

Mother's Details

Residential Address

Medical History

Condition requiring special attention

Allergies (Yes/No - if yes, state)

Medical Aid Name & Policy #

"I certify that the information provided is true and I commit to upholding the values of St. Luke Jemedza High School. And tick if you agree with the school's policies."

I Agree to the declaration

Download the school's policies for review.

Official Application Form

Student Particulars

Academic Background

Parent / Guardian Information

Father's Details

Mother's Details

Medical History

Application Received

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