GENERAL INFORMATION
Surname
First Name
Other Name(s)
Nationality
Place of Birth
Region
Name, Address, Telephone Number and Date of Last School Attended
Previous Class
Seeking admission into
PERSONAL DATA
Briefly describe any physical disabilities and perculiar habit, if any, apart from sight and hearing. [emotional, food preferences, allergies, etc.]
PARENTS/GUARDIAN'S PARTICULARS
Father's Name, Permanent Address and Occupation
Residential Address [House Number and brief description]
Telephone Number
Mother's Name, Permanent Address and Occupation
Residential Address [House Number and brief description]
Telephone Number
Guardian's Name, Permanent Address and Occupation
Residential Address [House Number and brief description]
Telephone Number
Who has custody of the child?
Languages spoken at home
Number of Siblings [______Older _______ Younger]
If yes please state
Other relatives to be contacted incase of any emergency [Name, Permanent Address and Occupation]
Residential Address [House Number and bried description]
Telephone
Relationship to child
Who will accompany your child to/from school?
Please upload picture and ID of person who will be accompaning your child
Health Records (Please produce documentary proof)
Child vaccinated against (Tick Yes or No as applicable)
Please upload proof of child's vaccination
Child has or has ever had (Check Yes or No as applicable)
DECLARATION
Send
