Registration

Student Passport Photograph

No file chosen

Candidate Information

First Name *

Other Name *

Surname *

Gender *MaleFemale

Date of Birth *

Residential Address

Street Address *

House Number *

City/Town *

State of Residence *

Local Govement Area

Country of Resident

Religion

Radio *ReligionChristianityIslamAfrican TraditionOthers

Educational Information

Class for Which Admission is Sought *JSS1JSS2

Last School Attended *

Last Class Attended *

Parent/Guardian’s Information

Relation to Student *Father?Mother?Guardian?

For Father or Guardian

Father or Gaurdian Passport *

No file chosen

Title *

Full Name *

Street Address

House Number

City/Town

State

Country

Occupation

WhatsApp Phone *

Phone Line 2 *

Email Address *

For Mother

Mother Passport

No file chosen

Title *

Full Name *

Street Address

House Number

City/Town

State

Country

Occupation

WhatsApp Phone *

Phone Line 2 *

Email Address *

Emergency Contact Person

Passport of Contact Person

No file chosen

Full Name *

WhatsApp Phone *

Phone Line 2 *

House Number and Street Address *

Landmark *

City/Town *

State/Province *

Local Government Area

Country

Save as Draft

Residential Address

Religion

For Father or Guardian

For Mother

Declaration