Online Admission Form

Contact school Administration to confirm seat availability If the chance is available, you must pay non-refundable charges (Application Fee: TZS 10,000)
Only School Fees MUST be directly deposited to CRDB BANK , Account Number: 015000044AV00, Account Name: GREEN USAMBARA ACADEMY.
You must attach payslip(s)-PDF format while filling up an Online Application Form
Additionally, You must attach one Student's Passport-size, one Father's Passport-size and one Mother's Passport-size or Guardian. Click here to fill up an online admission form.
For more information please call 0677 380 999 or email us at info@greenusambaraschools.ac.tz

Class *

Stream *

First Name *

Middle Name

Last Name

Gender *

Date of Birth *

Mobile Number

Email

Father Name

Father Phone

Father Occupation

Father Photo

Mother Name

Mother Phone

Mother Occupation

Mother Photo

Who is the Guardian? * Father Mother Other

Guardian Name *

Guardian Relation *

Guardian Email

Guardian Photo

Guardian Phone

Guardian Occupation

Guardian Address

If Guardian Address is Current Address

Current Address

If Permanent Address is Current Address

Permanent Address

National Identification Number

Previous School Details

Remark

Documents (To upload multiple document compress it in a single file then upload it)