ADMISSION INFO

Applicant's First Name?


Applicant's Middle Name?


Applicant's Last Name?


Nationality?


State of Origin?


Local Government Area?


Date of Birth?


Place of Birth?


Applicant's Gender?


Does the child have any deformity?


If Yes! Please state the deformity / deformities?



Does the child have any of the following ailments?
Tuberculosis, Sickle Cell Anaemia, Epilepsy, Asthma, Ulcer, Pneumonia, and the likes

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What is Applicant's Present Class?


Class you wish to be admitted?


Last school attended by applicant?


Please give brief reason why you are leaving your previous school...?

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Father's Firstname?


Father's Surname?


Father's Phone Number?

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Mother's Firstname?


Mother's Surname?


Mother's Phone Number?


Parent's Contact Email Address?


Parent's / Guardian's / Helper's Contact Address?


Parent's Marital Status?


What is your relationship with the student?


How did you get to know about us?


If you heard about us through a friend, please let us know his or her full name so we can appreciate them.


If you heard about us through a friend, please let us know his or her phone number.

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