Kibo Secondary School - Form Five Application Form

Barua zote zitumwe kwa

Mkuu wa Shule

S.L.P 836

MOSHI-TANZANIA

08/10/2025

Simu: (+255) 757 656 994

(+255) 788 438 341
Barua pepe: kibosecondary@gmail.com
Tovuti: www.kibosecondary.ac.tz

COMBINATIONS OFFERED FORM FIVE APPLICATION FORM-2026 A.

Kibo Secondary School offers the following combinations in 'A' Level: -

PCB	PCM	PGM	CBG	PMCs	ECsM	EGM	HGE	HGL	HGK	HKL
Physics Chemistry Biology	Physics Chemistry Mathematics	Physics Geography Mathematics	Chemistry Biology Geography	Physics Mathematics Computer Science	Economics Computer Science Mathematics	Economics Geography Mathematics	History Geography Economics	History Geography Language	History Geography Kiswahili	History Kiswahili Language

B. QUALIFICATIONS FOR BEING SELECTED

In order to qualify for Form V at Kibo secondary school the following conditions must be fulfilled:

Applicant must have obtained at least credits in his/her Form IV Certificate of Secondary Education Examination (CSEE). Admission will be offered to those with at least total of ten (10) points from subjects contained in their combination.
Return the filled in application form to the center you collected it or directly to the school before 5^th February 2024.
The applicant must pass an interview that will be conducted on 10^th February 2026, 24^th January 2026, 1^st February 2026 and 28^th February 2026 at Kibo secondary school, Wari secondary school and Msimbazi Center-Dar es Salaam.

C. ATTACHMENTS.

The following items should be attached to the filled in form:

Original and photocopy of the student’s Ordinary level examination Results Slip (we will keep the photocopy and return the original).
Two latest passport size of the student.
A copy of the student’s Birth Certificate.

NOTE

You should pay Tsh. 40, 000 non-refundable application fee through the given CRDB Account Number.
A/C Number: 0150626495400
Name of Account: ST. ANDREW FOUNDATION.
This form can also be downloaded from our website (http://kibosecondary.ac.tz).
Attach the bank pay-in slip to the filled in application form as evidence of payment. Application form that will not be attached by such evidence shall not be considered.

(PLEASE USE BLOCK LETTER)

Receipt Number

PHOTO

Recent
Passport size

1. Student’s full name as it was registered in Form IV National Examination (CSEE)
First name: Middle name: Surname:

Sex (Please Tick √) Male Female

2. Student’s Date of Birth: Day Month Year Place of Birth:

3. Religion: Denomination: Nationality:

4. Student’s Home Address: P.O. Box

5. Name of the Secondary School where student attended:

6. CSEE Centre No. Candidate’s No. Year Completed

7. Type of 'O' level school (Please Tick Two): -
Boarding Day Co-education Single Sex

8. Fill subjects' grade obtained at O’Level as indicated in the table below: -

Subject	History	Geography	Physics	Chemistry	Biology	Mathematics	Computer Studies	Commerce	B/Keeping
Grade

9. O’ Level results: Division: Points:

10. Combination the student is applying for: Please indicate 1 for first choice and 2 for the second choice.

CBG	EGM	PCB	PCM	PMCs	ECsM	HGE	PGM	HGL	HGK	HKL

11. Number of brothers/ sisters of the applicant studying at Kibo

12. Father’s (Male Guardian’s) Name
Phone No: Email

13. Mother’s (Female Guardian’s) Name:
Phone No: Email

14. Area where the family lives: Region District Location

Declaration: If it is discovered that any of the above information is false, I will forfeit my place.

Name of Student Signature Date

Name of parent or Guardian Signature Date

You are warmly welcome to Kibo Secondary School

ANDREW SHIJA LIKALILO
HEAD OF SCHOOL
[ Weka Muhuri wa Shule Hapa / School Stamp ]