DE LA SALLE COLLEGE
SIXTH FORM
Original
colour
passport size
photo
ACADEMIC YEAR 2016/2017
APPLICATION FORM PREFERENCE I
PLEASE USE BLOCK LETTERS
Surname _____________________________
Identity card number ____________________
Nationality ____________________________
Name ________________________________
Date of Birth ___________________________
Gender:
Male
Female
Address ___________________________________________________________________
________________________________________
Tel. No. ______________
Cellphone ______________
POSTCODE _______________
email ______________________
Name of School last attended, highest form completed and date of leaving:
_____________________________________________________________________________
Guardians’ details:
Title(Mr/Mrs/etc.) First Name
Address
(for correspondence,
if different from the
above)
Surname
Work phone/cellphone
_____________________________________________________
_____________________________________________________
_________________________
POSTCODE _____________
Name and telephone/mobile number of person to be contacted if you are going to be abroad in
the three weeks following closing date of applications_____________________________
Names of brothers/sisters attending De La Salle College during the coming scholastic year
(2016/2017) and/or who attended De La Salle College during the last scholastic year (2015/2016):
Name: ____________________ Class/Form(2016/2017) _______ Class/Form(2015/16)_______
Name: ____________________ Class/Form(2016/2017) _______ Class/Form(2015/16)_______
On the days of registration, applicants are asked to bring:
(i) their identity card together with a photocopy
(ii) the original and a photocopy of their examination results (including ECDL, Ballet, etc)
(iii) the original and a photocopy of their school-leaving certificate
(iv) two original colour passport size photographs (one affixed above)
(iv) registration fee of €15.00 (€10 for second application)
Applicant’s Signature ______________________________________
This form should reach our office on the days of application, by 12:00, Tuesday, 23rd August
2016.
Registration Fee: €15.00
PTO
CHOOSE ONLY ONE SUBJECT FROM EACH COLUMN. Tick the appropriate box. The number in
brackets indicates the subject groups as specified by the University Regulations. One subject (at any
level) is to be chosen from each of groups 1, 2 and 3 (i.e. three subjects in all) and two other subjects
may be chosen from any Group (that is, either from 1, 2, 3 or 4).
Please check that the subjects you choose satisfy the requirements of any course you may wish to
follow in future. Do not hesitate to ask for help and guidance at the Reception Desk.
ADVANCED LEVEL
ACCOUNTING(2)
ART(4)
BIOLOGY(3)
CHEMISTRY(3)
FRENCH(1)
MALTESE(1)
PHILOSOPHY(2)
PHYSICS(3)
PURE MATHS(3)
BIOLOGY(3)
CHEMISTRY(3)
COMPUTING(4)
ECONOMICS(2)
ENGLISH(1)
ITALIAN(1)
MARKETING(2)
PHYSICS(3)
PURE MATHS(3)
SOCIOLOGY(2)
ART(4)
BIOLOGY(3)
ECONOMICS(2)
ENGLISH(1)
FRENCH(1)
HISTORY(2)
MALTESE(1)
PHILOSOPHY(2)
PHYSICS(3)
PSYCHOLOGY(2)
PURE MATHS(3)
RELIGION(2)
INTERMEDIATE LEVEL
ACCOUNTING(2)
ENG.DR. & GRAPH.COM.(4)
ENGLISH(1)
INF. TECHNOLOGY(4)
MALTESE(1)
PHYSICS(3)
PSYCHOLOGY(2)
PURE MATHS(3)
RELIGION(2)
THEATRE & PERFORMANCE(4)
APPLIED MATHS(3)
COMPUTING(4)
ENGLISH(1)
ENVIR. SCIENCE(3)
GERMAN(1)
ITALIAN(1)
MARKETING(2)
PHILOSOPHY(2)
PHYSICS(3)
PSYCHOLOGY(2)
SOCIOLOGY(2)
EDUCATIONAL QUALIFICATIONS – insert grades from 1 – 5 and A* – C only. This means
that if you have a grade 6/7/U/D/E/F in a subject, you are not to list it below. List any other
subjects/qualifications (e.g. Engineering Drawing, Music etc) in the empty rows.
SUBJECT
Maltese
Religious Knowledge
Italian
English Language
English Literature
Mathematics
Physics
Social Studies
French
Environmental Studies
Accounting
Computer Studies
Biology
Chemistry
Economics
German
IT
ECDL
UNIVERSITY OF MALTA
Level
SEC
SEC
SEC
Grade
FOREIGN EXAMINATION BOARD
(LONDON, CAMBRIDGE, ETC)
Level
Grade
Examination Body
Core / Advanced
Please note the following:
Accounting, Economics and Marketing: not more than 2 can be taken.
Environmental Science cannot be taken with Biology, Chemistry or Physics.
Computing cannot be taken with Information Technology.
Courses are offered provided that there are a sufficient number of applicants.
Systems of Knowledge is a necesary element of the MATSEC Certificate.
Personal Awareness Lessons and Physical Education form an integral part of the De La Salle Sixth Form
Curriculum.