Applicant's Passport

Applicant's firstname

Applicant's surname

Applicant's middlename

Your email

Applicant's place of birth

Applicant's date of birth

Applicant's Gender
FemaleMale

Applicant's Religion
ChristianityIslamOthers

Applicant's LGA

Applicant's State of Origin
—Please choose an option—AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNassarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara

Applicant's Nationality
—Please choose an option—NigeriaGhanaCameronKenyaOthers

Does you child has any deformity
YesNo

If Yes, please state the deformity/deformities

Class you wish to be admitted
—Please choose an option—CrechePre-nurseryNursery 1Nursery 2Nursery 3Basic 1Basic 2Basic 3Basic 4Basic 5JSS 1JSS 2JSS3SS 1SS 2SS 3

Applicant's Current Class
—Please choose an option—NoneCrechePre-nurseryNursery 1Nursery 2Nursery 3Basic 1Basic 2Basic 3Basic 4Basic 5JSS 1JSS 2JSS3SS 1SS 2SS 3

Last School Attended by Applicant

Applicant's Please give a reason why you are leaving your previous school

Father's firstname

Father's surname

Father's phone number

Mother's firstname

Mother's Surname

Mother's Phone Number

Parents Contact Email

Parent's Contact Address

Parent's Marital Status
MarriedSingle MotherSingle FatherDivorcedSeperated

Relationship with Student Applying
ParentGuardianHelper (Charity)

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