1. PUPIL DETAILSSurname/Family Name (as on birth certificate/passport): *Given Name: *Date of Birth (DD-MM-YYYY) *Gender *MaleFemaleUpload Passport Size Photo *Choose FileNo file chosenDelete uploaded fileUpload a passport size photo showing face and both earsReligionAdventistAnglican (Protestant)CatholicMuslimPentecostalOrthodoxOtherNationality *UgandaAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountry of ResidenceUgandaAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePlease indicate any medical condition you may have that may require adjustments to be made to the curriculum or the teaching environment *NoneUnseen disability e.g. Chronic conditionsDeaf/Hearing ImpairedBlind/Partially SightedWheelchair User / Mobility DifficultiesOthers indicate belowClass Applied to *NurseryP1P2P3P4P5P6SectionDayBoardingPrevious School NamePrevious School report *Choose FileNo file chosenDelete uploaded fileUpload previous school report2. PARENT/GUARDIAN DETAILSFather's DetailsTitleMr.Dr.Rev.Prof.Name of Father *Passport Photo of Father *Choose FileNo file chosenDelete uploaded filePassport Photo of FatherTelephone *EemailTown/VillageCounty / Division /CityDistrictAbimAdjumaniAgagoAlebtongAmolatarAmudatAmuriaAmuruApacAruaBudakaBududaBugiriBugweriBuhwejuBuikweBukedeaBukomansimbiBukwoBulambuliBuliisaBundibugyoBunyangabuBushenyiBusiaButalejaButambalaButeboBuvumaBuyendeDokoloGombaGuluHoimaIbandaIgangaIsingiroJinjaKaabongKabaleKabaroleKaberamaidoKagadiKakumiroKalakiKalangalaKaliroKalunguKampalaKamuliKamwengeKanunguKapchorwaKapelebyongKarengaKaseseKassandaKatakwiKayungaKazoKibaaleKibogaKibukuKikuubeKiruhuraKiryandongoKisoroKitagwendaKitgumKobokoKoleKotidoKumiKwaniaKweenKyankwanziKyegegwaKyenjojoKyoteraLamwoLiraLuukaLuweroLwengoLyantondeMadi OkolloManafwaMarachaMasakaMasindiMayugeMbaleMbararaMitoomaMityanaMorotoMoyoMpigiMubendeMukonoNabilatukNakapiripiritNakasekeNakasongolaNamayingoNamisindwaNamutumbaNapakNebbiNgoraNtorokoNtungamoNwoyaObongiOmoroOtukeOyamPaderPakwachPallisaRakaiRubandaRubiriziRukigaRukungiriRwamparaSerereSheemaSironkoSorotiSsembabuleTororoWakisoYumbeZomboMother's DetailsTitleMrs.Miss.Ms.DrProf.Rev.Name of Mother *Passport Photo of Mother *Choose FileNo file chosenDelete uploaded filePassport Photo of MotherMother's emailTelephone *Town/VillageCounty / Division / CityDistrictAbimAdjumaniAgagoAlebtongAmolatarAmudatAmuriaAmuruApacAruaBudakaBududaBugiriBugweriBuhwejuBuikweBukedeaBukomansimbiBukwoBulambuliBuliisaBundibugyoBunyangabuBushenyiBusiaButalejaButambalaButeboBuvumaBuyendeDokoloGombaGuluHoimaIbandaIgangaIsingiroJinjaKaabongKabaleKabaroleKaberamaidoKagadiKakumiroKalakiKalangalaKaliroKalunguKampalaKamuliKamwengeKanunguKapchorwaKapelebyongKarengaKaseseKassandaKatakwiKayungaKazoKibaaleKibogaKibukuKikuubeKiruhuraKiryandongoKisoroKitagwendaKitgumKobokoKoleKotidoKumiKwaniaKweenKyankwanziKyegegwaKyenjojoKyoteraLamwoLiraLuukaLuweroLwengoLyantondeMadi OkolloManafwaMarachaMasakaMasindiMayugeMbaleMbararaMitoomaMityanaMorotoMoyoMpigiMubendeMukonoNabilatukNakapiripiritNakasekeNakasongolaNamayingoNamisindwaNamutumbaNapakNebbiNgoraNtorokoNtungamoNwoyaObongiOmoroOtukeOyamPaderPakwachPallisaRakaiRubandaRubiriziRukigaRukungiriRwamparaSerereSheemaSironkoSorotiSsembabuleTororoWakisoYumbeZomboNext of Kin DetailsTitleMrs.Miss.Ms.DrProf.Rev.Name of Next of Kin *Telephone *EmailTown/VillageCounty / Division / CityDistrictAbimAdjumaniAgagoAlebtongAmolatarAmudatAmuriaAmuruApacAruaBudakaBududaBugiriBugweriBuhwejuBuikweBukedeaBukomansimbiBukwoBulambuliBuliisaBundibugyoBunyangabuBushenyiBusiaButalejaButambalaButeboBuvumaBuyendeDokoloGombaGuluHoimaIbandaIgangaIsingiroJinjaKaabongKabaleKabaroleKaberamaidoKagadiKakumiroKalakiKalangalaKaliroKalunguKampalaKamuliKamwengeKanunguKapchorwaKapelebyongKarengaKaseseKassandaKatakwiKayungaKazoKibaaleKibogaKibukuKikuubeKiruhuraKiryandongoKisoroKitagwendaKitgumKobokoKoleKotidoKumiKwaniaKweenKyankwanziKyegegwaKyenjojoKyoteraLamwoLiraLuukaLuweroLwengoLyantondeMadi OkolloManafwaMarachaMasakaMasindiMayugeMbaleMbararaMitoomaMityanaMorotoMoyoMpigiMubendeMukonoNabilatukNakapiripiritNakasekeNakasongolaNamayingoNamisindwaNamutumbaNapakNebbiNgoraNtorokoNtungamoNwoyaObongiOmoroOtukeOyamPaderPakwachPallisaRakaiRubandaRubiriziRukigaRukungiriRwamparaSerereSheemaSironkoSorotiSsembabuleTororoWakisoYumbeZomboHow did you learn about Uphill Junior AcademyPrint AdvertisementRadio / TV AdvertisementCurrent Student / AlumniInternet SearchSocial MediaOther (State below)4. DECLARATIONDeclaration *I Confirm that the information provided is to the best of my knowledge true correct and accurateSubmitPlease do not fill in this field.
