Clevers' Origin Schools
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Student Application Form
Complete all required fields marked with
*
Application Fee:
UGX 50,000
(payable on submission)
Student Information
Full Name
*
Date of Birth
*
Gender
*
Select gender
Male
Female
Other
Grade Level
*
Select grade level
Nursery
Kindergarten
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
Primary 7
Parent/Guardian Information
Full Name
*
Relationship
*
Select relationship
Parent
Guardian
Other
Phone Number
*
Email Address
*
Campus and Boarding Preference
Campus
*
Select campus
Kitintale
Kasokoso
Maganjo
Boarding Preference
*
Select boarding preference
Additional Information
Previous School
Special Needs
How Did You Hear About Us?
*
Select an option
School Website
Friend/Family Referral
Social Media
School Event
Other
Submit Application