Note: Fields marked with an asterisk * are required
PERSONAL INFORMATION:
Surname*
First Name*
Middle Name
Gender*
Date of birth *
( YYYY/MM/DD)
Nationality*
State *
Local Government Area / City*
Height (m)*
Body Weight(kg)*
Family Size
Position in Family
Name of last school Attended
Reason for leaving last school attended
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Class to which admission is sought*
Passport *
Image file must not exceed 1MB
MEDICAL RECORD:
Vision*
Hearing*
Speech*
General Vitality*
Disability*
Genotype
Blood Group
Other Medical Information
PARENT'S INFORMATION:
One of the parent's information (Either father or mother) must be completed
Father's Name
Father's Occupation
Father's Office Address
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Father's Home Address
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Father's Phone number(s)
Father's Email Address
Mother's Name
Mother's Occupation
Mother's Office Address
AutoCount
Mother's Home Address
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Mother's Phone number(s)
Mother's Email Address
GUARDIAN'S INFORMATION:
Guardian's Name
Guardian's Occupation
Guardian's Office Address
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Guardian's Home Address
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Guardian's Phone number(s)
Guardian's Email Address
ADMISSION DOCUMENT
Merge all documents into a file: File must not exceed 5MB [Word/Pdf file types only]