Kindly fill out the form below. Please you are required to fill all the fields.

Surname

Other Names

Sex

Date of Birth

State of Origin

Nationality

Religion

Father's Name

Father's Occupation

Office Address

Father's Phone Number

Mother's Name

Mother's Occupation

Mother's Office Address

Mother's Phone Number

Name of former School

Last Class

Class for which Admission is sought

Day or Boarding?

Any Special Ailment? Yes No

Transfer Certificate? Yes No

Result of past Exams? Yes No

Medical Report? Yes No

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