GRADE…………….……TERM…………ATTENDANCE…………………...
OUT OF………………
YEAR…………………………….
POSITION IN CLASS…………….OUT OF………………….POSITION IN
GRADE…………………………………………………..
POSSIBLE MARK GRADE REMARKS
SUBJECT MARK OBTAINE
D
WRITTEN
READING
ENGLISH
SPELLING
KUNYORA
SHONA
KUVERENGA
ZVIPERENGO
MATHEMATICS
SCIENCE AND TECHNOLOGY
PE AND ARTS
SOCIAL SCIENCE
GRAND TOTAL
Class teacher
comment…………………………………………………………………………………………………………………………………..
...........................................................................................................................................
.............................
CHARACTER /
BEHAVOIUR………………………………………………………………………………………………………………………
……..
CLUB / SPORT
………………………………………………………………………………………………………………………………………………..
CLASS TEACHER`S SIGNATURE
………………………………………………………………………………………………………………………..
Headmasters signature
…………………………………………………………………………………………………………………………………
NAME OF MOTHER…………………………..
……………….OCCUPATION……………………....................
NAME OF GUARDIAN………………………….RELATIONSHIP……………….OCCUPATION………………
HOME ADDRESS………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………….
TELEPHONE HOME……………………BUSSINESS……………………….PERSONAL…………………………..
NUMBER OF CHILDREN IN FAMILY
MALES……………………………………………………………………….
FEMALES………………………………………………………………….
POSITION OF THE CHILD IN FAMILY…………………………………………………………………………………
IS SHE PHYSICALLY OR MENTALLY CHALLENGED . YES/NO
DOES SHE HAVE OTHER SPECIAL NEEDS . YES/NO
IF YES ELABORATE…………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………….
CHILD’S INTERESTS
………………………………………………………………………………………………………….
ALLEGIES…………………………………………………………………………………………………………………………
IMMUNISATION DONE SO FAR
1…………………………………………………………………………………………DATE………………………………
2…………………………………………………………………………………………DATE……………………………..
3…………………………………………………………………………………………DATE……………………………..
4…………………………………………………………………………………………DATE………………………………
5…………………………………………………………………………………………DATE……………………………..
6………………………………………………………………………………………..DATE………………………………
7………………………………………………………………………………………..DATE……………………………..
8………………………………………………………………………………………..DATE……………………………..
9……………………………………………………………………………………………DATE………………………………
GRADE………..……..…TERM…………..…………………………………………………………………..YEAR…………
POSITION IN CLASS…………….OUT OF…………….POSITION IN GRADE…………………………………….
SUBJECT POSSIBLE MARK MARK GRADE REMARKS
OBTAINED
ENGLISH LANGGUAGE PAPER 1
PAPER 2
TOTAL
INDIGENOUS LANGUAGE PAPER 1
PAPER 2
TOTAL
MATHEMATICS PAPER 1
PAPER 2
TOTAL
SCIENCE AND TECHNOLOGY PAPER 1
PAPER 2
TOTAL
SOCIAL SCIENCE PAPER 1
PAPER 2
TOTAL
PE AND ARTS PAPER 1
GRAND TOTAL
Class teacher comment............................................................................................................................
……………………
CHARACTER \BEHAVOIUR …………………………………………………………………………………………………………………….
CLUB / SPORT …………………………………………………………………….
CLASS TEACHER`S SIGNATURE ………………………………………………………………………………………...
Headmasters signature ………………………………………………………………………
Next term begins
on……........................................
Next term fees $
SCHOOOL STAMP
………………………………...................
Parent / Guardian`s signature ……………….………………
ISSUED WITHOUT ANY AMMENDMENTS
ALL FEES, LOST BOOKS AND EQUIPMENT MUST BE SETTLED BEFORE THE TERM BEGINS
Indemity form
(to be completed by the parent)
I the undersigned …………………………………………………
Being the parent or legal guardian of ……………………………
Do hereby give my consent to his or her taking part at his
own risk, and that while every precaution and care will be taken by
the organizer(s), neither they, or accident, illness or any injury
which may occur during or as a result of the sporting activity or
tour.
Further l authorize the organizer(s), the Principal and members
of staff to act ‘in loco parents` and to empower the to authorize
any surgical operation or essential medical treatment which , for
any reason may become necessary during the school visit or tour or
sporting activity and acknowledge that the Ministry of Primary and
Secondary Education or Government is indemnified from any legal
suit which may result from disputes, accidents involving my child.
This covers the whole period my child will be learning at Tinevimbo
Junior School.
DATE…………….SIGNATURE……………………………………
PARENT OR GUARDIAN
ADDRESS…………
…………......................
…………………………………..
…………………………………..
TELEPHONE…………………………
……
…………………...…………….
