ADMISSION
Application Form
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CANDIDATE'S DETAILS
Candidate's Name
Date of Birth
Gender
Male
Female
Admission Class
What Class are You Applying For?
Tulip - Pre-Nur
Zinnia - Nur. 1
Vetch - Nur. 2
Clover - Nur. 3
Almond - Yr. 1
Marigold - Yr. 2
Oleander - Yr. 3
Carnation - Yr.4
Petunia - Yr. 5
Basic 6
Nasturtium - JSS1
Aquilegia - JSS2
JS3
SS1
SS2
SS3
Previous School Attended
MEDICAL DETAILS
Blood Group
O+
O-
A+
A-
B+
B-
AB+
AB-
Not Sure
Genotype
AA
AS
AC
SS
Not Sure
Any Disabilities?
Poor Sight
Hard of Hearing
Physically Challenged
Any Known Health Issue?
Sickle Cell Anemia
Nose Bleeding
Convulsion
PARENTS' DETAILS
Father's Full Name
Mother's Full Name
GUARDIAN'S DETAILS
Guardian's Full Name
Relationship to Candidate*:
Parents
Father
Mother
Other
Occupation*:
Contact Address*:
HomeTown*:
LGA*:
State*:
Country*:
Mobile Numbers*
Email Address
Upload Candidate's Passport*
AFFIRMATION
I affirm that the details provided here are accurate according to my knowledge and I acknowledge this application shall be rejected if found to be inaccurate.
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