Student’s name (as it appears on passport)
Student’s preferred name (if different from above)
List all information about the enrolling child's siblings. Please input N/A if they do not have any siblings.
5.1 English
5.2 French
5.3 Kiswahili
Guardian 1 / Parent 1 (G1/P1)
Guardian 2 / Parent 2 (G2/P2)
Must be someone other than the parents/guardians, and located in Dar es Salaam
Contact number 1
Contact number 2
Medical Treatment (Consent required)
Please read the following terms and conditions before applying to DIA and signing the application form.
Herewith, I certify with my signature that all statements given in this document to be true: