Student Registration Form
first name
last name
Birthday
Gender
Male
Female
Previous Class
Choose Class
SS3
SS2
SS1
JSS3
JSS2
JSS1
PRIMARY 6
PRIMARY 5
PRIMARY 4
PRIMARY 3
PRIMARY 2
PRIMARY 1
NURSERY 3
NURSERY 2
NURSERY 1
PRE-SCHOOL
Class Into Which Admission is Sought
Choose Class
SS3
SS2
SS1
JSS3
JSS2
JSS1
PRIMARY 6
PRIMARY 5
PRIMARY 4
PRIMARY 3
PRIMARY 2
PRIMARY 1
NURSERY 3
NURSERY 2
NURSERY 1
PRE-SCHOOL
Have You Done the Primary School Leaving Assessment Test (PSLAT)?
Yes/No
YES
NO
Religious Denomination
Choose Religion
Christianity
Islam
Others
Blood Group
Choose Blood Group
A+
B+
AB+
O+
A-
B-
AB-
O-
Blood Genotype
Choose Genotype
AA
AS
AC
SS
Residential Address
Local Government Area
State of Origin
Nationality
Name of Parent / Guardian
Profession / Occupation
Parent / Guardian's Residential Address
Email Address
Phone Number
Submit