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ADMISSION FORM
2023/2024 ACADEMIC SESSION
For further enquiries please call the
PRINCIPAL 08037582186.
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* Indicates required question
PERSONAL INFORMATION
NAME OF CANDIDATE
(IN BLOCK LETTERS)
SURNAME
*
Your answer
FIRST NAME
*
Your answer
OTHER NAMES
Your answer
DATE OF BIRTH
*
MM
/
DD
/
YYYY
PLACE OF BIRTH
*
Your answer
RELIGION
*
Your answer
DENOMINATION
Your answer
CONTACT ADDRESS
*
Your answer
HOME TOWN
*
Your answer
LOCAL GOVERNMENT OF ORIGIN
*
Your answer
STATE OF ORIGIN
*
Your answer
SCHOOLS ATTENDED WITH DATES
Beginning with the most recent
(A)
Your answer
(B)
Your answer
(C)
Your answer
PRESENT CLASS
Your answer
FATHERS NAME
Your answer
FATHERS PHONE NUMBER
Your answer
FATHERS EMAIL
Your answer
FATHERS OCCUPATION
Your answer
MOTHERS NAME
Your answer
MOTHERS PHONE NUMBER
Your answer
MOTHERS EMAIL
Your answer
MOTHERS OCCUPATION
Your answer
CONTACT NUMBER IN CASE OF EMERGENCY
*
Your answer
SPONSOR'S NAME (IF OTHER THAN PARENT)
Your answer
SPONSOR'S PHONE NUMBER
Your answer
SIGNATURE
*
By checking this box, you the candidate has agreed to sign this document.
By checking this box, you the Parent/Sponsor's has agreed to sign this document.
Required
N.B:
Completed application form(s) should be submitted with four current passport photos to the college on or before March 18th or April 1st, 2023, the date of the examination.
Prospective candidate into J.S.S. 1 should have acquired a primary six(6) leaving certificate or are currently in primary six(6).
Subjects to be written:
Mathematics
and
English Language
.
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