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LEAD BRITISH INTERNATIONAL SCHOOL
ENTRANCE EXAMINATION FORM
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Year/Class applied for ?
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Choose
Year 12
Year 11
Year 10
Year 9
Year 8
Year 7
Year 6
Year 5
Year 4
Year 3
Year 2
Year 1
Gold
Diamond
Emerald
Topaz
Creche
Indicate if Day Student or Boarder
*
Day Student
Boarder
Enter Surname
*
Your answer
Other Names (First Name First)
*
Your answer
Date Of Birth
*
MM
/
DD
/
YYYY
Select Gender
*
Male
Female
Nationality
Your answer
Religion
Your answer
Please tick preferred Entrance exam mode
Physical
Online
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Please tick your preferred branch
Abuja
Ibadan
Osogbo
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Please Let us know if your child has any of the following (tick as appropriate)
Yes
No
Educational Special Needs
Medical Condition
Dietary needs
Yes
No
Educational Special Needs
Medical Condition
Dietary needs
Clear selection
Please Let us know if your child has any of the following from previous School (tick as appropriate)
Yes
No
Behavioural problems
Suspended, expelled or asked to leave school at any time?
Yes
No
Behavioural problems
Suspended, expelled or asked to leave school at any time?
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Parent/Guardian’s Details
Full name (Surname first)
Your answer
Relationship to applicant
Your answer
Contact Phone No. & Email
Your answer
Date
MM
/
DD
/
YYYY
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