“LAMA I VULI MO YAGA”

1712 MAVUA DISTRICT SCHOOL

STUDENTS BIO-DATA/ENROLLMENT FORM

Name: ____________________________ Admission No: ____________________

Date Of Birth: ______________________ Place Of Birth: ____________________
Fathers Name:______________________ Fathers Occupation:_______________
Mothers Name:_____________________ Mothers Occupation:_______________

Tokatoka:__________________________ Mataqali:__________________________________
Yavusa:____________________________ Koro:____________________________________
Tikina:____________________________ Yasana:___________________________________
Tutu Vakavanua:__________________________________
Nomu Lotu/Religion:_______________________________

Residential Address:___________________________________________________________
Postal Address: ___________________________________ Contact:__________________
Emergency Contact:__________________ ____________
Mode Of Transport:____________________________________________________________

Family Income/Year:_______________________________

Family Assistance (Social Welfare,etc):___________________________________________

Last School Attended:

Name Of School Year Class

Name Of brothers & sisters in school:-Please also state their classes .

Brother(s):_______________________________________________________________
Sister(s):_________________________________________________________________

Any Medical Issues(State):

____________________________________________________________________________
____________________________________________________________________________

General Information:
____________________________________________________________________________
____________________________________________________________________________

Parents Signature:____________________________ Contact:________________________

Head Teacher: __________________________________________