New Student Application Form


Untitled Document

Candidate Type:
PHOTOGRAPH: (MAXIMUM 90KB)
 
SECTION A(TO BE FILLED BY THE CANDIDATE)
SURNAME:
FIRST NAME:
SEX:
DATE OF BIRTH:
STUDENT'S E-MAIL ADDRESS:
LOCAL GOVERNMENT AREA:
HOME ADDRESS:
POSTAL ADDRESS:
TELEPHONE NO:
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:
FATHRE'S EMPLOYER:
RESIDENTIAL ADDRESS:
CONTACT ADDRESS (Not P.O. Box):
FATHER'S E-MAIL:
MOTHER'S NAME:
MOTHER'S STATUS AND RANK:
MOTHER'S EMPLOYER:
DEPARTMENT/OFFICE:
RESIDENTIAL ADDRESS:
CONTACT ADDRESS (Not P.O. Box):
MOTHER'S E-MAIL:
ATTACH LAST RESULT OF PRESENT CLASS:
WHO IS RESPONSIBLE FOR THE CHILD'S SCHOOL FEES AND OTHER FINANCIAL COMMITMENT?:
OTHERS
 
Blood Group:
Genotype:
Height: ft
Weight: kg
Colour of Eyes:
   
ACCESS PIN INFORMATIO
ACCESS PIN: (ENTER PIN OR
SERIAL
NUMBERS WITHOUT SPACE OR APOSTROPHY)
SERIAL NO: