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Admission

Entrance Module


Student's Information
SurName:
FirstName:
Other Name:
Sex: DoB: Religion:
State of Origin: L.G.A:
Nationality:
Home Address:
Previous School:
Transfer:
Grade: Proposed Class:
Paasport:
Blood Group: Genotype:
Medical History:

Parents'/Guadian's Information


Father:
Occupation:
Business Address:
Phone No.:
Father:
Occupation:
Business Address:
Phone No.:

In case of any emergency, or ill health,
I agree that: My ward be taken to a private hospital Call the parent attention

The above named child lives with (Please Tick One):
Father Mother Both Parents Guardian

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