Admission Form
Payment Platform: Remita
Applicant Details
School Applied For
Please Choose School
Secondary, Uyo
Secondary, Abak
Elementary, Abak
Elementary, Uyo
Elementary, Port Harcourt
Admission Class
First Name:
Middle Name:
Last Name:
Gender:
Place of Birth:
Religion:
Date of Birth:
Nationality:
State of Origin:
City of Origin:
Residential Address:
Correspondence Address:
Admission Year
2019/2020
2020/2021
2021/2022
Last School Attended:
Last Class Attended:
Upload Passport
Health Challenge:
Physical Challenge:
Parents' Details
Father
Full Name:
Home Address:
Email Address:
Phone Number:
Office Address:
Occupation:
Mother
Name:
Address:
Email Address:
Phone Number:
Office Address:
Occupation:
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