HARADALI DEVELOPMENT TRUST HARADALI PRE & PRIMARY SCHOOL P. O. BOX 15531, ARUSHA, TANZANIA EMAIL: [email protected] Child Photo TEL +255 732 971 728 Mobile: +255 753 450 383. Web page: www.haradalischools.org APPLICATION FORM BOARDING DAY SCHOOL (Put mark in the appropriate box) 1. CHILD INFORMATION: Full Name ………………………… …………………………… (First name) Date of Birth (Surname) Place of Birth ……………………………………. (Date/Month/Year) Tribe Sex ………..………………… ……………………….. ……………………….. (Village/District/Region) Nationality ………………………………. (Mother tongue) ………………………….. (Middle Name) (Male/Female) Religion …………………………………… …………………………… (Country of Residency) (Christian/Muslim) Child Health ………………………………………………………………………………………………………..….…………………………………….. (State whether your child has any unique health problems) Address P. O. Box …………………………………………….………….…..…..Tel ………...…………………………………………….. 2. PARENT / GUARDIAN INFORMATION Full name…………………………………………………………………………………………………………………………………. (Parent / Guardian) Residential Area: …………………………………………………………………………………………………………….. ( Tengeru, Shangarai, Ngulelo, Etc). Block Address: ………………………………………………………………………………………………………………… Tel: ………………………………………………………………………………………………………………………………………………… Occupation: I am currently ……………………………………………………………….……………………………………. (a teacher, a businessman, a farmer, an accountant, jobless etc.) ACADEMIC EXCELLENCE IS OUR TARGET 1 3. For a Sponsored pupil Full name of a Sponsor …………………………………………………………………………………………………………… Address and Email…………………………………………………………………………………………………………………… Telephone ……………………………………………………………………………………………………………………………. Country ………………………………………………………………………………………………………………………………… Name of Organization / Orphanage Centre (if any)……………………………………….. ………………………… Email address and telephone of the organization……………………………………………………………………… The Sponsor is committed to support the kid for …………………years from …………………………………… 4. Declaration I ……………………………………………. The parent / guardian / sponsor of …………………………………………………, certify that the information given in this form is correct and I promise to abide by all school rules and regulations including payment of school fees in time. …………………………………………….……………………………………………..…………………………………………… (Parent / Guardian / Sponsor’s Signature) ( Date) 5. FOR OFFICE USE ONLY: Form received On …………………………………………………………………………………………………………… (date) Level and grade admitted: ….………………………………………………………………………………………… (Pre - Primary) (Primary Class one – PVII, etc) Form assessed and Signed by……………………………………………………………………………………………………. ( Academic Officer / Head Teacher / Accountant) Sign: ………………………………………………….Date and Stamp …………………………………………………………… Having filled this form, please return it to the office with the bank slips for further admission arrangements. ACADEMIC EXCELLENCE IS OUR TARGET 2 3. FEES STRUCTURE FOR DAY SCHOOL PUPILS ITEM NEW STUDENT FIRST SEMESTER SECOND SEMESTER THIRD SEMESTER Application form 10,000 - Admission fees 60,000 - Day School fees 240,000 240,000 240,000 20,000 20,000 20,000 260,000 260,000 260,000 Remedial Classes TOTAL 70,000 OTHER COSTS FOR BOARDING SCHOOL ITEM QUANTITY Two pairs of Uniforms 2 PAIRS Tracksuit with T-shirt Sport Uniform Books (Paid once in all school time) 20,000 70,000 1 PCS Online registration and services 10,000 25,000 File for Examination papers 4,000 TOTAL CRDB TZS ACCOUNT Bank Name: Branch: Address Swift Code Account Name Account number 100,000 50,000 1PAIR Progressive Book COST 279,000 NMB TZS ACCOUNT CRDB BANK LIMITED ARUSHA BRANCH BOX 3150, ARUSHA, TANZANIA CORUTZTZ HARADALI DEVELOPMENT TRUST 1099019400 NMB BANK PLC CLOCK TOWER BRANCH BOX 3093, ARUSHA, TANZANIA NMIBTZTZ HARADALI SCHOOL 4081009547 NMB USD ACCOUNTS Bank Name: NMB BANK PLC Branch: CLOCK TOWER BRANCH Address BOX 3093, ARUSHA, TANZANIA Swift Code NMIBTZTZ Account Name HARADALI SCHOOL Account number 40810010204. ACADEMIC EXCELLENCE IS OUR TARGET 3