NATIONAL EXAMINATIONS COUNCIL OF TANZANIA

Ref. No: 7541187833714

ENTRY FORM FOR ACSEE 2024 PRIVATE CANDIDATE

P1475 PERFECT-VISION SEC SCHOOL CENTRE

1. PERSONAL PARTICULARS

Full name : JACKLINE E BANGILANA Sex : F Vision : Normal

Date of birth :

2. PREVIOUS EXAMINATIONS INFORMATION

Previous exam type Previous exam number Previous exam year

ACSEE P4036/0511 2023

3. CONTACT ADDRESS

C/o: P. O. Box : P.O.BOX 35698

Post office name: KIJITONYAMA Region: DAR ES SALAAM
Mobile phone: 0759585890 Email:

4. SUBJECTS REGISTERED

SUBJECT CODE SUBJECT NAME NUMBER OF PAPERS

111 GENERAL STUDIES Theory 1
112 HISTORY Theory 1
113 GEOGRAPHY Theory 1
121 KISWAHILI Theory 1

5. EXAMINATION FEE PAYMENT INFORMATION

Control No.: 991100453753 Amount: 50000 Receipt: Date paid: 2023-09-25

6. APPLICANT DECLARATION

I declare that:
I have been allowed to sit for my examinations at PERFECT-VISION SEC SCHOOL CENTRE
I agree that, all the information entered in this form are correct.

Date:

Applicant signature: