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Photographs

Child's Photo

Parent / Guardian Photo

Student Personal Details

Surname*First & Middle Name*Date of Birth*

Gender

Country of BirthNationality*Other Nationalities HeldLanguage Spoken at HomePassport NumberExpected Start DateGrade / Year Applying For*Physical Home Address of Child

Is the child a citizen of the Republic of Uganda?

Religion (optional)

Pin Your Home on the Map

Tap the map or drag the pin to place your exact home location. Coordinates are saved automatically.

Previous School Attended

Name of Previous SchoolSchool E-mailSchool TelephoneFrom Grade / YearTo Grade / YearPhysical Address of School

Type of School

Curriculum

Language of Instruction

Parents or Legal Guardian

Father / Guardian Full NameFather / Guardian NationalityFather / Guardian MobileFather / Guardian EmailFather / Guardian Job PositionFather / Guardian OrganisationMother / Guardian Full NameMother / Guardian NationalityMother / Guardian MobileMother / Guardian EmailMother / Guardian Job PositionMother / Guardian Organisation

If Child Does Not Live With a Parent

Name of AdultRelationship to ChildMobile TelephoneE-mail Address

Additional Information

EAL (English as Additional Language) needed?

Tested for learning disabilities?

Has your child ever been disciplined for serious misconduct? If yes, please explain.Has your child ever been dismissed or suspended? If yes, please give details.Siblings applying or already at MISU (name, gender, year)

Choice of Transportation

How did you hear about MISU?

How long do you anticipate staying in Kampala?

Release home phone to other class parents?

Emergency Contact (not a parent)

Full NameRelationship to ChildMobile TelephoneE-mail AddressOther adults authorised to collect the child (name, relationship, phone)

Medical Information

Blood Group

Immunisations up to date?

Allergies (food, medication, environmental)Current MedicationsExisting Medical ConditionsFamily Doctor's NameDoctor's PhoneDietary Requirements

Swimming Ability

Consent to emergency medical treatment if a parent cannot be reached?

Languages & Learning Support

Languages Spoken by Child

English Proficiency

Special Educational Needs / Accommodations (IEP, 504, etc.)Gifted & Talented programmes or evaluationsHobbies, Sports & Extracurricular Interests

Documentation & Insurance

Visa / Residence Status in Uganda

Residence Permit ExpiryHealth Insurance ProviderInsurance Policy NumberCustody Arrangement (if relevant) — e.g. shared custody, sole custody, court orders

Consents

Photo Consent — child may be photographed for internal school use

Media Consent — child's image may appear on school website / brochures / social

Field Trip Consent — child may attend off-campus excursions

Reference

Reference NameRole / RelationshipReference Email

Declaration

Parent / Guardian Name*Date*

I have read and understood the information above. The information provided in this form is true and accurate to the best of my knowledge.

Your application will be sent directly to the MISU admissions team.

Questions about the application?

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