e-Admission









Note: Fields marked with an asterisk * are required

PERSONAL INFORMATION:
   
Passport Photograph *
 Image size must not exceed 2MB
Surname*
First Name*
Middle Name
    
Gender*
    
Date of birth *
     ( YYYY/MM/DD)
Nationality*
State *
Local Government Area *
Home town*
Home Address *
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Place of Birth*
Contact Phone number(s) *
Contact Email Address *
 valid email required for this application process

Last School Attended:
Name of last school Attended *
Class or Certificate passed *
Reason for leaving last school attended *
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Date of Leaving *
     ( YYYY/MM/DD)

Admission Information:
Class to which admission is sought*
Day or Boarding Student*
    

Health Record:
Illness suffered in the past*
Hospital Visited*
Illness suffered since when?*
 (Year)
Present health situation*
Other Medical Information
Disability*
Genotype
Blood Group
Other Medical Information

Parent's Information:

One of Either A or B must be completed
A
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
B
Mother's Name
Mother's Occupation
Mother's Office Address
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Mother's Home Address
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Mother's Phone number(s)
Mother's Email Address

Sponsor's Information:

Sponsor's Name
Sponsor's Occupation
Sponsor's Office Address
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Sponsor's Home Address
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Sponsor's Phone number(s)
Sponsor's Email Address