Admission Form

Student Information

First Name *

Last Name *

Date of birth *

Gender *

Religion *

Position in the Family

State of Origin *

Local Government Area *

Home Town *

National Identification Number (NIN)

Student Passport *

Health Information

Blood Group

Usual Health Complaints *

Height

Weight

Parent/Guardian Information

Full Name of Parent/Guardian *

Relationship with Student *

Residential Address

Phone Number *

Academic Information

Class *

Last School Attended

Reason for Leaving

Transferred Certificate Number

Documents

Birth Certificate

Previous Class Result

Declaration

I certify the information provided is correct