Applicant Form

Pupil's/Student's Surname *

Other names in full *

Date of Birth

Place of birth *

SexMaleFemale

Religion *

State of Origin *

Nationality *

Last School Attended *

Last Class Attended *

Choose Desired Early Learning Class

Choose Desired Primary Class

Choose Desired Junior High

Choose Desired Senior High

Choose Desired External Examination

Preferred Attendance ModeDayBoarding

Applicant's Passport Photo (JPEG, not bigger than 1MB) *

No file chosen

Applicant's Last Academic Report (PDF,not bigger than 5MB) *

No file chosen

Parent/Guardian Information

Applicant Lives WithFatherMotherBoth ParentsGuardian

Father's full name

Father's Email Address

Tel/Mobile Number

Father's Business/occupation

Father's Home Address

Father's Full Business/Office Address

Who is responsible for applicant's feesFatherMotherSponsorship/Schorlarship

Needs/Aids

List of Allergies

Do you have a family doctorYesNo

Family Doctor's Information

Agree

Date

Agree

Date

Text