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01

Student's Particulars

Student Photo

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First Name*

Middle Name

Surname*

Date of Birth*

Gender*

Region*

Citizenship*

Denomination*

Name of Last Primary School Attended*

PREM Number

Your primary school registration (PREM) number, if you have one.

Phone Number*

Email Address*

Physical Address*

02

Parent / Guardian Details

Full Name*

Occupation*

Current Residence*

Mobile Phone Number*

03

Interview Details

You will be interviewed in Mathematics and English Language.

Interview Centre*

Interview Date*

Time	Event
7:00 – 8:00 am	Registration
8:00 – 11:00 am	Examination
11:00 – 11:30 am	Break
11:30 am – 1:00 pm	Results and other instructions

On interview day:

Wear the uniform of your former primary school.
Bring a pen, ruler, and pencil.
You may sit for the interview at any centre, regardless of where you live.

04

Payment Details

The application form costs Tshs. 30,000/=. Pay via CRDB Bank 0150319398700 (Account: Kitungwa Adventist Secondary School). Cash payments are not accepted — a pay-in slip must be attached, or this application cannot be processed.

If you qualify: an advance of Tsh. 100,000/= is required as a commitment to join the school, payable within one month of being notified. This is separate from the Tsh. 30,000/= application fee above and is not collected at this stage.

Payment Method*

Cash is not accepted for this payment.

Transaction Number / Reference*

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Payment Slip / Proof*

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