Student Admission Form

Official enrollment registry for St. Elizabeth Secondary School. Fully compliant with MoES and UNEB regulatory frameworks.

1. Student Biographical Data

Full Legal Name (As written on PLE/UCE Slip)

Date of Birth

Gender

Country of Nationality

Applicant Type

Local Student / EAC Region

International Student

2. Academic Placement Objectives

Target Academic Framework

O-Level

A-Level

Class Entry Level

Previous School Attended

3. National Compliance & Verification

UNEB Index Number (PLE or UCE)

UNEB Division or Grade Level

4. Parent / Legal Guardian Framework

Full Name of Guardian/Parent

Contact Phone Number

Email Address (Optional)

Residential Physical Address

I hereby declare that all academic credentials, UNEB metrics, or international evaluation references provided are authentic and correct. I acknowledge that rendering false information leads to automatic cancellation of admissions according to school guidelines and national educational laws.