Apply Online

Kindly fill form accordingly, using accurate information using a valid email address.Also ensure that the files (Credentials ) that are to be uploaded are not heavy.

A. Personal Information
Name*
Surename Other Names
Date Of Birth*
Email
Address*
Address Home Town State / Province / Region Nationality
Religion*
Language*
Phisical Peculiarity*
Proposed Class*
- Boarding
- Day
B. Parents/ Guardian Information
Name of Fathre or Mother/ Guardian*
Office Address of Fathre or Mother/ Guardian*
Occupation of Fathre or Mother/ Guardian*
Address*
Home Address
Telephone Number*
Date of Birth of Fathre or Mother/ Guardian*
Wedding Anniversary Date
C. Medical Information
Immunization Taken (Yes/ No)*
- Yes
- No
Allergy/ Reaction to any food?*
If yes, Indicate
Allergy/ Reaction to any Drug?*
If yes, Indicate*
Does your child/ award have any peculiar ailment?*
If yes, Please Specify*
Addres of the child's medical doctor in an emergency*
Medical Doctor Phone Number*
Upload Files (birth certificate and immunization certificate)*
Drop files here or
NOTE: Each file should not be less than 2MB