Portal Reg: Form Teacher

SURNAME:

FIRST NAME:

SEX:

MALE FEMALE

ADDRESS:

PHOTO:

PHONE:

EMAIL:

ACCESS PIN:

SERIAL NUMBER:

CHOOSE PASSWORD:

CHOOSE USERNAME:

SECURITY QUESTION

WHAT IS YOUR FAVOURITE FOOD WHAT IS YOUR MOTHERS MAIDEN NAME WHAT IS YOUR FAVORITE MOVIE

SECURITY ANSWER

CLASS:

SS1 SS2 SS3 JSS1 JSS2 JSS3

A B C D E F

CLASS POPULATION: