Apply In-person
Note:A school may change from one status to another on condition that it satisfies the requirements for the desired status.
Ministry of Education & Sports - Head Office,
Physical Address:Legacy Towers, Nakasero
Kyadondo Road
Block A And B
Postal address:P. O. BOX 7063 Kampala,
Uganda King George VI Way,
Embassy House,
Uganda
Tel: 0417 893 600 (General)
Tel: 0417 893 615 (P.R.O)
Email: permasec@education.go.ug
Website:Link
Form 4(PROCESS FREE OF CHARGE)
MINISTRY OF EDUCATION AND SPORTS UDC BUILDING
P O BOX 7063KAMPALA
APPLICATION FOR REGISTRATION AND CLASSIFICATION OF A PROVISIONALLY LICENSED PRIVATE SECONDARY SCHOOL
TO BE COMPLETED IN TRIPLICATE)
MoES P O Box 7063KAMPALA
Thru: Commissioner Private Schools/Institutions
MoES
P O Box 7063 KAMPALA
SECTION ONE:
To be completed by applicant (attach a copy of the letter licensing the school to operate)
Note: The information filled in this form will be verified during inspection)
1. (a) Name of School
.....................................................................
(b) Postal Address
.......................................................................
( c) Telephone Number ............................... Fax Number ..................
2. (a) Name of School Owner(s)/proprietor(s): ..................................................
........................................................................................................................
.........................................................................................................................
Note: If more space is required, use foolscap and attach
(b) Postal Address <.......................................................................
(c) Telephone Number ..................................... Fax Number ....................
3. Declaration of nature of ownership:
a) Individual (sole owner)
b) Community ( i.e. Parish/village/sub county )
c) Partnership (more than one person)
d) NGO.( this includes FBO )
e) Company,
4. School Particulars:
(a) Boys only
(b) Girls only
(c) Mixed (Boys and Girls)
(d) Day/
(e) Boarding
(f) Day and Boarding
I/We apply for the school to be registered and classified as Private Secondary. (specify):
................................................................................................
5 Location of School
(a) Village (L.C.I) ..................... (b) Parish (LC.II) .....................
(c) Sub-county (LC.III) ............... (d) County (LC.IV ...................
(e) District .............................. (f) Town/Municipality/City Council
(g) District Headquarters ............. Taking Road ........... via ........................
(h) Block/Plot Number ................. street ................................................
6. School Land:
(g) Area ..................................... Hectares/Square Km
(h) Owned by .....................................................................................
7. Classes, streams and Enrolment:
Total
Classes........................................................................................
treams ........................................................................................
Boys .....................................................
Enrolment Girls ........................................................
Total .......................................................
8. Fees Charged:
(i) Tuition ....................................
(j) .......................................................................
(k) .......................................................................
(l) ........................................................................
(m) Others (specify .....................................................
9. (a) Name of Headteacher ......................................................
(b) Qualification: ...............................................................
Teaching Staff:
NAMES QUALIFICATIONS UTS REG/UC. NO MONTHLY SALARY
1........ ................ ..........................
2 ........................ ............................
3. ....................... ......................... ...
4. ...................... ......................... ....
5........................ ......................... ..........
.
6. ...................... ......................... ...........
7........................ ......................... .............
8. ...................... ......................... ...............
9. ...................... ......................... ................
10...................... .......................... ..................
11. ..................... .......................... ...................
12. ............... ... .......................... ......................
(Attach copies of their certificates. Also if there are more than 9 teachers attach similar information as above.)
10. Facilities and equipment/furniture:
(a) Number of Classrooms: .................. (b) Number of Dormitories ...............
(c) Biology laboratory ........................ (d) Physical science laboratory ..........
(e) Multi-purpose science lab ................ (f) Library ..................................
(g) Number of workshops .....................(h) Number of special rooms .............
(i) Number of Administration offices........ (j) Staffroom.................................
(k) Number of staff houses ...................
(l) Stores .....................................
(m) Kitchen .....................................
(n) Toilet: (No of stances) ..................
(o) Number of school buildings in permanent materials .............................................
(q) Adequacy of furniture ....................................................................
(r) Adequacy of laboratory or workshop equipment.............................................
(s) Adequacy of other teaching aids/equipment ...............................................
(t) Adequate play/sports ground .............................................................
11. School Farm or any other generating activity in the school:
(n) Has the school got a farm? Yes/No
(o) If yes, specify type of agriculture farm ................................................
(p) If no, state all other income generating projects/activities
...............................................................................................
12. Declaration:
I ........................................................ certify that to the best of my knowledge, what I have stated above is true and correct.
Date: ................................................ Signature: ...............................
Title: ................................................ Name: .................................
Proprietor: ...........................................
SECTION TWO
TO BE ENDORSED BY THE DISTRICT INSPECTOR OF SCHOOLS
I recommend/do not recommend registration and classification of ................................
Remarks: ..............................................................................................
Date: ..................................................... Signature: .......................
Full Names: ............................................. DISTRICTINSPECTOR OF SCHOOLS
SECTION THREE
TO BE ENDORSED BY DISTRICT HEALTH INSPECTOR
I recommend/do not recommend registration and classification of .................................
Remarks:
The school fulfils the requirements of the Health Act /the school does not fulfil the Health Act
requirements
Full Names: ............................................. Signature: .................
DISTRICTHEALTHINSPECTOR
Date: .....................................................
SECTION FOUR
TO BE ENDORSED BY THE DISTRICT EDUCATION OFFICER
To: The Permanent Secretary/Education and Sports
I recommend/ do not recommend registration and classification of...........
Remarks ...........................................................................
Full Names: ............................................. Signature: .......................
DISTRICTEDUCATION OFFICER
Date:...............................................
SECTION FIVE
TO BE ENDORSED BY THE DIRECTORATE OF EDUCATION STANDARDS
I recommend/do not recommend registration and classification of:
........................................................................as...........
Remarks:
.............................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Full Name................................................................. Title ........................Signature.........
..:..........................................
DIRECTORATE OF EDUCATION STANDARDS (REGIONAL OFFICE)
Date: ......................................................
SECTION SIX<br.
TO BE ENDORSED BY THE MoES OFFICER
To: Commissioner Private Schools
I recommend/not recommend..................................... (Name of school) to be registered and
classified
Reasons:
..............................................................................................
...................................................................................................
Classification is...............................................................
Registration Number............................................
Full Names ...............................................Signature.....................
ASSESSING OFFICER
Date: ..........................................
TO BE ENDORSED BY THE PERMANENT SECRETARY /EDUCATION AND SPORTS
I approve/do not approve --------------------------------------------------------------------------------to
be registered and classified.
Full name................................................................................Signature............................
PERMANENT SECRETARY /EDUCATION AND SPORTS
Date: .................................................
If approved:
RegistrationNumber___________________________________Date:__________________
Registration Na
me____________________________________________________________
Classified as________________________________________________________________
Full Names: ___________________________________Signature_______________________
PERMANENT SECRETARY /EDUCATION AND SPORTS
Date: _____________________________________
.
Videos explaining the procedure or to fill the applications. Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites. Please remove the '&' inside the tags during implementation. Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver, sevenload, viddler, vimeo, youku, youtube width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed. e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.
The purpose of registration is to ensure that:
General requirements:
Please explain what are other uses of obtaining this document/certificate. e.g. Birth Certificate can be used as proof of identity.
More information which might help people.