ONLINE APPLICATION FORM
A. PARTICULARS OF CANDIDATE
*
PIN Number:
*
Surname:
*
First Name:
Other Name:
*
Enrolment Class:
KG
Nursery1
Nursey2
Nursery3
Pry1
Pry2
Pry3
Pry4
Pry5
JSS1
JSS2
SS1
SS2
*
Date of Birth:
*
Academic Session:
2024/2025
2023/2024
2022/2023
*
Nationality:
*
Religion:
*
State:
*
L.G.A:
*
Home Town:
*
Sex:
Male
Female
B. PARTICULARS OF PARENT/GUARDIAN
*
Full Name:
*
Relationship to the Candidate:
Residential Address:
Phone Number (format: xxxxxxxxxxx):
Occupation:
Email Address:
Home Address:
Upload Student Passport
Submit Form