STUDENT APPLICATION FORM
Fill the Student info
A: STUDENT'S PARTICULAR
Session
Select Session
2021/2022
2022/2023
2023/2024
2024/2025
Student's Name in Full
Date of Birth
Place of Birth
Common Illness
Religion
ISLAM
CHRISTIANITY
TRADITIONAL
OTHER
Sex
MALE
FEMALE
Age
Nationality
State of Origin
Select State
Non Nigerian
Abia
Adamawa
AkwaIbom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamafara
Lga
Select Local Gov.
Passport
B: PARENT'S PARTICULAR
Name of the parent of Guidance
Email
Home Address
Telephone
Parent Occupation
Postal Address
Nationality
State of Origin
Select State
Non Nigerian
Abia
Adamawa
AkwaIbom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamafara
Language
Genotype
Blood Group
Common Ailment
C: OTHERS
Previous School(s) Attended
(A) Nursery & Primary School
Address
Year of Admission Graduation
Class on Graduation
(B) Arabic/Islamic School
Address
Year of Admission Graduation
Class on Graduation
D: CLASS
Date
Class Admitted
Select Class
JUNIOR SECONDARY TWO A
JUNIOR SECONDARY ONE A
JUNIOR SECONDARY THREE A
KINDERGARTEN ONE B
KINDERGARTEN ONE A
KINDERGARTEN SIX A
KINDERGARTEN TWO C
KINDERGARTEN TWO B
KINDERGARTEN TWO A
KINDERGARTEN ONE C
NURSERY ONE A
NURSERY ONE B
NURSERY TWO A
NURSERY TWO B
PRIMARY FIVE B
PRIMARY FIVE A
PRIMARY FOUR B
PRIMARY FOUR A
PRIMARY THREE B
PRIMARY THREE A
PRIMARY TWO C
PRIMARY TWO B
PRIMARY TWO A
PRIMARY ONE B
PRIMARY ONE A
SENIOR SECONDARY ONE A
SENIOR SECONDARY TWO A
SENIOR SECONDARY THREE A
SENIOR SECONDARY TWO B
SENIOR SECONDARY ONE C
SENIOR SECONDARY THREE B
SENIOR SECONDARY THREE C
SENIOR SECONDARY ONE B
SENIOR SECONDARY TWO C
Amount