• New Student Application Form •

Untitled Document
ACCESS PIN: (ENTER PIN OR
SERIAL
NUMBERS WITHOUT SPACE OR APOSTROPHY)
SERIAL NO:
PASSPORT PHOTOGRAPH: (MAXIMUM 90KB)
 
SECTION A (TO BE FILLED BY THE CANDIDATE)
SURNAME:
FIRST NAME:
SEX:
DATE OF BIRTH:
E-MAIL ADDRESS:
LOCAL GOVERNMENT AREA:
HOME ADDRESS:
POSTAL ADDRESS:
LAST CLASS AND YEAR:
LAST PRIMARY SCHOOL ATTENDED:
CHOOSE YOUR EXAMINATION CENTRE:
 
SECTION B (TO BE FILLED BY THE PARENTS)
FATHER'S NAME:
STATUS AND RANK:
DEPARTMENT/OFFICE:
FATHER'S EMPLOYER:
FATHER'S TELEPHONE NO: (1) (2)
CONTACT ADDRESS (Not P.O. Box):
FATHER'S E-MAIL ADDRESS:
RESIDENTIAL ADDRESS:
MOTHER'S NAME:
STATUS AND RANK:
MOTHER'S EMPLOYER:
MOTHER'S TELEPHONE NO: (1) (2)
DEPARTMENT/OFFICE:
CONTACT ADDRESS (Not P.O. Box):
MOTHER'S E-MAIL ADDRESS:
RESIDENTIAL ADDRESS:
ATTACH LAST RESULT OF PRESENT CLASS: (For Multiple, files Compress as a Zip)
SPONSOR: