Admission Form for Secondary School

Full Name *

Email *

Amount (NGN) *

Transaction Charge: , Total:

SECTION A: Personal data of the Child

Full Name of Candidate *

Home Address *

Sex *

Male Female

Date of Birth(DD/MM/YYYY) *

Place of Birth *

Nationality *

Sate of Origin *

L.G.A of Origin *

Home Town *

Religion *

Mode of Enrollment *

New Student Transfer

Recent School Attended

Class To Which You Seek Admission *

Highest Class Last Past *

SECTION B:

Allergies (if any)

Blood Group *

Genotype *

Physical Defects(State if any)

Does the Child have any Special Health Problems or Handicap *

Yes No

SECTION C: Family Record

Name of Father *

Father's Address *

Father's Phone Number *

Name of Mother *

Mother's Address *

Mother's Phone Number *

Guardian

Guardian's Address

Guardian's Phone Number

* are compulsory
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