FORM NO:          
           
SURNAME FIRST NAME OTHERS
           
DATE OF BIRTH          
DAY MONTH YEAR
           
FORMER SCHOOL-NAME & ADDRESS (If any)        
           
NATIONALITY STATE OF ORIGIN SEX
           
RELIGION’S DENOMINATION:  (Please select one):        
           
NAME OF FATHER: NAME OF MOTHER:    
           
RESIDENTIAL ADDRESS OF PARENT/GUARDIAN:        
           
PHONE NUMBER: E-MAIL: OCCUPATION:
           
MEDICAL:Has your child any perculiar illness?        
           
If yes state it:         
           
BLOOD GROUP:  GENOTYPE:  RHESUS GROUP:
           
HAVE YOU CHILDREN /A CHILD IN THIS SCHOOL?         
           
IF YES, GIVE NAME(S) AND CLASS(S):        
           

NOTE:

Please, submit this form with ₦2,000 to the school Admin Office and obtain date for the interview. Bring your child for entrance examination on the day that will be given to you. 
(Please attach the Two copies of child’s birth certificate, Past academic records from the transferred school, Copy of Baptismal card if a Catholic, Immunization card, Two recent coloured passport picture of the child, One recent coloured passport picture of the child’s parents, and two passports photographs.)

Select one please;     

I CERTITY THAT THE INFORMATION GIVEN IS CORRECT. 

SIGN:  …………………………..…………………             DATE:……………………….

           

OFFICE USE:
DATE OF INTERVIEW: ………………..…CLASS:…………………….……… SESSION:……………..…………


OFFICER’S NAME:……………………………………..…………SIGN/DATE:……………..…………..….............