Application Form for Admission

Ref. No.

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Academic Session(Required)

Preferred Examination Centre(Required)

CANDIDATE INFORMATION

Upload Passport Photograph(Required)

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Candidate's Full Name (In CAPITAL Letters)(Required)

First Name Middle Name Surname

Date of Birth(Required)

Age

Nationality

Place of Birth

State of Origin

State of Origin (Foreign)

Local Govt. Area (LGA)

Home Town

Religion

Denomination

Class Applying For(Required)

Previous School Attended

Current Class

Reason for Changing School

PARENT/GUARDIAN INFORMATION

Father's/Guardian's Name(Required)

First Name Middle Name Surname

Father's/Guardian's Home Address(Required)

Father's/Guardian's Occupation/Profession

Father's/Guardian's Place of Work

Father's/Guardian's Email Address(Required)

Father's/Guardian's Phone Number(Required)

Primary Phone Number

Father's/Guardian's Phone Number (Alternative)

Alternative Phone Number

Father/Guardian's Signature

Mother's/Guardian's Name(Required)

First Name Middle Name Surname

Mother's/Guardian's Home Address(Required)

Mother's/Guardian's Occupation/Profession

Mother's/Guardian's Place of Work

Name & Address

Mother's/Guardian's Email Address(Required)

Mother's/Guardian's Phone Number(Required)

Primary Phone Number

Mother's/Guardian's Phone Number (Alternative)

Alternative Phone Number

Mother/Guardian's Signature

Postal Address (If Different from Above)

CANDIDATE INFORMATION

PARENT/GUARDIAN INFORMATION

HEALTH INFORMATION

Additional Information