MARGARIMA SECONDARY SCHOOL
GRADE 11 SUBJECT STREAMING APPLICATION FORM
2026 INTAKE
A. STUDENT INFORMATION
| Surname: |
Given Name(s): |
| Gender (M/F): |
Date of Birth: |
| Age: |
Home Village: |
| LLG: |
District: |
| Home Province: |
Nationality (PNG): |
B. CONTACT DETAILS
| Your Mobile Phone No.: |
Your Email Address (if any): |
C. LAST SCHOOL ATTENDED GRADE 10 INFORMATION
| Name of Previous School: |
Year Completed Grade 10: |
| Grade 10 Candidate Number: |
Grade 10 Serial Number: |
Subjects Taken & Gradings Obtained:
| No. | Subject Name | Grading |
|---|---|---|
| 1. | ENGLISH | |
| 2. | MATHEMATICS | |
| 3. | SCIENCE | |
| 4. | SOCIAL SCIENCE | |
| 5. | PERSONAL DEVELOPMENT | |
| 6. | BUSINESS STUDY | |
| 7. | AGRICULTURE | |
| 8. |
D. FUTURE CAREER DREAMS
1. What do you wish to become in the future? Name three choices.
| CHOICE 1: | |
| CHOICE 2: | |
| CHOICE 3: |
2. Preferred tertiary institution level:
E. DECLARATION
- I, , declare that all information provided is true.
- I authorize the school to assign subject combinations aligned with my career path.
- I consulted my parents/guardians and they agreed to my career selections.
| Student’s Signature: |
Date: |
|
Witness Name: Witness Signature: |
|
F. OFFICE USE ONLY
PLMT decision based on academic results and career selections:
| STUDENT NAME: |
STREAMING: |
| CLASS: |
|
SCIENCE CHOICES
- LANGUAGE & LITERATURE (ENGLISH)
- CITIZENSHIP & CHRISTIAN VALUE EDUCATION (CCVE)
- INFORMATION COMMUNICATION TECHNOLOGY
- ADVANCED MATHEMATICS / GENERAL MATHEMATICS
- CHEMISTRY / PHYSICS / BIOLOGY / GEOLOGY
COMMENT:
HUMANITIES / SOCIAL SCIENCE CHOICES
- LANGUAGE & LITERATURE (ENGLISH)
- CITIZENSHIP & CHRISTIAN VALUE EDUCATION (CCVE)
- INFORMATION COMMUNICATION TECHNOLOGY
- ADVANCED MATHEMATICS / GENERAL MATHEMATICS
- ECONOMICS / HISTORY / BUSINESS STUDIES / GEOGRAPHY
COMMENT:
APPROVAL
| Deputy Principal - Curriculum: Date: |
Principal: Date: |
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