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Student Registration Form
Student Information
Required
Full Name
*
Date of Birth
Gender
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Male
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Other
Email Address
*
Phone Number
Username
*
Profile Image
Optional: JPG, PNG, GIF (Max 2MB)
Password
*
At least 6 characters
Confirm Password
*
School
*
Select School
Kampala Capital City High School (KCC001)
Mbarara Secondary School (MBSS002)
Class
*
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Address
City
Country
Bio/Additional Information
Parent/Guardian Information
Optional
Parent account will be created automatically with default password if email is provided.
Parent Full Name
Relationship
Select Relationship
Father
Mother
Guardian
Other
Parent Email
Parent Phone
Parent Address
Parent Occupation
Emergency Contact Information
Academic Information
Optional
Previous School
Previous Grade/Class
Admission Number
Enrollment Date
Academic Notes
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