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Contact Info

Online Application Form

Home Application Form

Complete all appropriate sections in BLOCK LETTERS.
Upload rules: Passport photo (JPG/PNG, max 5MB) • Academic certificates (PDF only, max 5MB each).
* = Required field

  • Applicant Info
  • Mailing Address
  • Next of Kin
  • Family Contact
  • Course & Fee
  • Education
  • Referral
  • Uploads & Signature
Applicant's Information
Surname *
First Name *
Middle Name
Date of Birth (DD/MM/YYYY) *
Gender *
Religion
Place of Birth
Citizenship *
Marital Status
National ID No. / Passport No. *
Residential District
Home Location
County of Origin (Home County)
County of Residence at Time of Admission
Any Form of Disability
Mailing Address
P.O. Box
Postal Code
Town
Mobile No. (a) *
Mobile No. (b)
Tel No. (Office/House)
Email Address *
Next of Kin Details (Contacts in case of emergency)
Next of Kin 1
Name
Relationship
Employer
Designation
P.O. Box
Postal Code
Town
Email Address
Telephone
Next of Kin 2
Name
Relationship
Employer
Designation
P.O. Box
Postal Code
Town
Email Address
Telephone
Other Family Member(s) Contact (Optional)
Name
Relationship to Applicant
Telephone
P.O. Box
Postal Code
Town
Place of Residence
Email Address
Course & Fee Guarantee
International Language Applying For *
Guarantee of Fee Payment *
Guarantor Name
Guarantor Contacts (Tel/Mobile)
Education (List last secondary school and colleges attended)
School/College From (Year) To (Year) Course/Education (Level Attained) Grade/Award
How did you learn about Maior Lugha School?
Uploads & Signature
Accepted: JPG, PNG (max 5MB) Image format only
Upload all certificates as PDF (max 5MB each, multiple files allowed) PDF only
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