Application Form

Please, carefully fill and submit this form.

               - Select Religion - Christianity Islam Other - Select Gender - Female Male -- Select Last Class Attended -- None Kindergarten Creche Primary JSS 1 JSS 2 JSS 3 SSS 1 SSS 2 SSS 3     -- Select Class Applying For -- Kindergarten Creche Primary JSS 1 JSS 2 JSS 3 SSS 1 SSS 2 SSS 3
Name of Last School Attended: Last School Period Attended:
Do you have any permanent disability ? (Yes/No) -- Select Option -- Yes No