form

Admissions Form

SECTION A - STUDENT'S INFORMATION

Academic Session

Full Name Of Pupil

Date Of Birth

Age

Gender

Male

Female

Home Address

Nationality

State Of Origin

Religion

Local Government

SECTION B - PARENT'S INFORMATION

Faher's Name

Last Name

Occupation

Phone Number

Mother's Name

Last Name

Occupation

Phone Number

Guardian's Name (if applicable)

Guardian's Occupation (if Applicable)

Phone Number

SECTION C - HEALTH INFORMATION

Blood Group

Genotype

Any Allergies?

Yes

No (none)

Any Medical Condition? (e.g) asthma, epilepsy, etc

Emergency Contact Person

Phone Number

SECTION D - PREVIOUS EDUCATION (If Applicable)

Last School Attended (If Any)

Class Completed

Reason for Leaving

I,________________________________________ (Parent/Guardian), hereby declare that the information provided above is true and correct. I agree that my child/ward will abide by the rules and regulations of the school.