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Application Form
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are compulsory
Applicant Information
Photo
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Full Name
Gender
Male
Female
Date Of Birth
Class Applying For
JSS 1
JSS 2
JSS 3
Nursery 1
Nursery 2
Nursery-SEP 1
Nursery-SEP 2
Primary 1
Primary 2
Primary 3
Primary-SEP 1
Primary-SEP 2
Primary-SEP 3
Primary-SEP 4
Primary-SEP 5
Primary-SEP 6
SSS 1
SSS 2
SSS 3
Disability
None
Hearing Impairment
Physical Impairment
Vision Impairment
Special Needs
Religion
Islam
Christianity
others
Email
sponsor phone number
Medical History
(optional)
Blood Group
Select...
A+
A-
B+
B-
AB+
AB-
O+
O-
Genotype
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AA
AS
SS
AC
SC
Allergies
Existing Conditions
Current Medications
Emergency Contact Name
Emergency Contact Phone
Notes
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