TIA || Application Form

(+250) 0786096226

trinity.academykgl@gmail.com

TIA - APPLICATION FORM

1. Applicant information

Family Name *

Middle Name Optional

Given Name *

Gender *

Date of Birth *

Program You applying for:*

Grade: *

Previous School: Optional

Learning Way: *

Child have any disabilities ? *
Yes
No

If Yes, briefly explain the kind of disabilities: (Optional

Upload the Student Passport Image *

2. Parent/Guardian information

Father/Guardian Name *

Father/Guardian Phone *

Mother/Guardian Name *

Mather/Guardian Phone Optional

Parent/Guardin Email (Optional) We do not share your email to anyone

Next Kin. Names*

Next Kin. Phone*

Next Kin. Relationship:*

Nationality of Parent: *

3. Living Place

Province *

District *

Sector *

Cell: *

Village: *