Admission Form Order Number SURNAME * FIRST NAME * OTHER NAME DATE OF BIRTH * GENDER * Male Female NATIONALITY * CLASS SEEKING ADMISSION TO * JSS 1 JSS2 SS1 SS2 ADDRESS * Previous School attended Residential Phone Number * Mobile Number * Emergency Contact Number * Email * PARENT’S /GUARDIAN’S DETAILS Father’s Surname * Father’s First name * Father’s Middle Name Address * Occupation * Phone Number * Mother’s Surname * Mother’s First name * Address * Mobile Phone No * Occupation * OTHER INFORMATION Child’s Health condition certified by a Medical test Comment Require School Transport * Yes No Any other Information * I_______________________________hereby declare that the above given information is true to the best of my knowledge and I agree to abide by the school rules and regulations. Put your name in the text area Today's date * Parent’s Signature/Thumb Impression * Sign and upload Student passport photo *
