Full Names *

Date of Birth *

Gender *

Male

Female

Nationality *

State of Origin

LGA

PARENT INFORMATION: Father's Information

Father's Name

Occupation *

Work Address:

Home Address:

Work Phone Number: *

Mobile/WhatsApp Phone:

Email *

Mother's Information

Mother's Name: *

Occupation: *

Work Address: *

Home Address: *

Work Phone Number: *

Mobile/Whatsapp Number: *

Email Address: *

Guardian's Name: *

Occupation:

Home Address: *

Work Address: *

Applicant's Previous School: *

Last Class Attended

Address of Previous School:

APPLICANT'S CHOICE

Applicant's Choice *

Day

Boarding

If Day Admission, does the Applicant require Transport facility?

No

Yes

Does the Applicant have any disability? * *

No

Yes

If yes, kindly specify

Has the Applicant been immunized against the following? * *

Yellow fever

Mumps

Cholera

Measles

Chickenpox

Polio

Does the Applicant have any of these specific health conditions? *

Sickle cell anaemia

Asthma

Epilepsy

Whooping cough

diabetes

mental illness

Any Other

How did you hear about us? *

Newspaper

Television

Radio

Billboard

Posters/Flyers

Student

Staff

Parent

Internet

If you checked the "staff" option, kindly input name or Telephone Number below.

ATTACH PHOTOCOPIES OF THE FOLLOWING COMPULSORY DOCUMENTS UPON COMPLETION

Upload Passport Photographs *

Upload Birth Certificate

Upload Last School Transcript/Report/Testimonial

Upload Medical Report

Photocopies of the following compulsory documents should be submitted to the school upon resumption (Birth certificate, Transcript/last Report/testimonial, 4 recent colour passport photographs, medical report from a certified clinic or hospital.

Click to acknowledge the above stated.

Type the following into the box below and insert applicant's name: I, .......................................................... certify that the above information is correct and promise to abide by the rules and regulations of the school.

Declaration: *

Click to certify the above.

Enroll