e-Admission









Note: Fields marked with an asterisk * are required

PERSONAL INFORMATION:


   
Passport *

Image file must not exceed 1MB
Surname*
First Name*
Middle Name
   
Gender*
   
Date of birth *
    ( YYYY/MM/DD)
Nationality*
State *
Local Government Area *
Home town*
Home Address *
AutoCount
Place of Birth*
Contact Phone number(s) *
Contact Email Address *

valid email required for this application process

Last School Attended:


Name of last school Attended *
Class or Certificate passed *
Reason for leaving last school attended *
AutoCount
Date of Leaving *
    ( YYYY/MM/DD)

Admission Information:


Class to which admission is sought*
Day or Boarding Student*
   

Health Record:


Illness suffered in the past*
Hospital Visited*
Illness suffered since when?*
(Year)
Present health situation*
Other Medical Information
Disability*
Genotype
Blood Group
Other Medical Information

Parent's / Spouse Information:


One of Either A or B must be completed
A
Father's / Husband's Name
Father's / Husband's Occupation
Father's / Husband's Office Address
AutoCount
Father's / Husband's Home Address
AutoCount
Father's / Husband's Phone number(s)
Father's / Husband's Email Address
B
Mother's / Wife's Name
Mother's / Wife's Occupation
Mother's / Wife's Office Address
AutoCount
Mother's / Wife's Home Address
AutoCount
Mother's / Wife's Phone number(s)
Mother's / Wife's Email Address

Sponsor's Information:


Sponsor's Name
Sponsor's Occupation
Sponsor's Office Address
AutoCount
Sponsor's Home Address
AutoCount
Sponsor's Phone number(s)
Sponsor's Email Address