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Royal Five Scholarship Application Form
Section 1: Pupil Information
Pupil Full Name
*
Date of Birth
*
Gender
*
Gender
A
Male
B
Female
Current School
*
Current Class
*
Previous Academic Position in Class
*
Previous Class Average
*
Section 2: Parent / Guardian Information
Parent / Guardian Full Name
*
Relationship to Child
*
Primary Phone Number
*
Alternative Phone Number
*
Email Address (Optional)
*
Residential Address / Quarter / Village
*
Section 3: Household Information
Occupation of Parent / Guardian
*
Estimated Monthly Household Income (FCFA)
*
Number of Children in Household
*
Number of Children Currently in School
*
Family Status
*
Family Status
A
Both Parents Alive
B
Single Parent
C
Orphan
D
Living with Guardian
E
Other
Section 4: Scholarship Request
Please describe why financial assistance is needed
*
What are the child's academic strengths, talents, or achievements?
*
Section 5: Declaration
I confirm that all information provided is accurate and complete.
*
I confirm that all information provided is accurate and complete.
Yes, All information Provided is Accurate.
Submit Application
