Student Admission Form

Learner's Info. *Inputs with * are required

Surname *{{model.error.surname}}

First Name *{{model.error.first_name}}

Other Names

Date of Birth *{{model.error.dob}}

Present Class *{{model.error.present_class}}

Gender *{{model.error.gender}}

School of interest *{{model.error.schoolitem}}

Class of interest *{{model.error.levelitem}}

Parent's / Guardian Info. *Inputs with * are required

Select Relationship *{{model.error.relationship}}

Phone Number *{{model.error.relationship_phone}}

Email Address *{{model.error.relationship_email}}

Upload Avatar

Upload Students' {{doc.category_name}}

Parent Title *

Other Title

Father's First Name *{{model.formError.e10}}

Father's Surname *{{model.formError.e11}}

Father's Occupation *{{model.formError.e12}}

Father's Phone Number *{{model.formError.e13}}

Father's Email *{{model.formError.e14}}

Mother's Email

Mother's Fullname *{{model.formError.e16}}

Mother's Occupation *{{model.formError.e17}}

Mother's Phone Number* {{model.formError.e18}}

Nationality *

State of Origin *

Local Govt Area *{{model.formError.e21}}

Contact Address *{{model.formError.e22}}

How did you Hear about us *

LOCAL GUARDIAN? (TO BE COMPLETED BY PARENTS WHO ARE RESIDENT ABROAD)

Guardian's Title

Guardian's First Name

Guardian's Surname

Guardian's Other Names

Guardian's Occupation

Guardian Office Address

Guardian Email Address

Telephone Number

Guardian's Residential Address

Thanks For completing {{name}}'s student admission form. We will send you a confirmation email, please review your details before proceeding.

First Name: {{model.first_name}}

SurName: {{model.surname}}

Other Names: {{model.other_names}}

Gender: {{model.gender==0? "male" : "Female"}}

Present Address: {{model.present_address}}

Present School: {{model.present_school}}

Present Class: {{model.present_class}}

Date Of Birth: {{model.dob}}

School of Interest: {{model.schoolitem.school.name}}

Class of Interest: {{model.levelitem.name}}

Parent Title: {{model.parent_title}}

Other Title: {{model.other_title}}

Father's First Name: {{model.father_first_name}}

Father's SurName: {{model.father_surname}}

Father's Occupation: {{model.father_occupation}}

Father's Phone Number: {{model.father_phone_number}}

Father's Email: {{model.father_email}}

Mother's Email: {{model.mother_email}}

Mother's Fullname: {{model.mother_fullname}}

Mother's Occupation: {{model.mother_occupation}}

Nationality: {{model.countryitem.country_name}}

State of Origin: {{model.stateitem.name}}

Local Govt Area: {{model.regionitem.region_name}}

Contact Address: {{model.contact_address}}

How you heard about us: {{model.how_you_heard_about_us}}

Guardian Title: {{model.guardian_title}}

Guardian First Name: {{model.guardian_first_name}}

Guardian Surname: {{model.guardian_surname}}

Guardian Other Names: {{model.guardian_other_names}}

Guardian Occupation: {{model.guardian_occupation}}

Guardian Office Address: {{model.guardian_office_address}}

Guardian Email Address: {{model.guardian_email}}

Guardian Telephone Number: {{model.guardian_telephone_number}}

Guardian's Residential Address : {{model.guardian_residentail_address}}

PLEASE NOTE: You are required to pay an admission fee of ₦ {{ model.number_format(model.schoolitem.price)}} after filling the form

Thanks For completing {{name}}'s student admission form. We sent you a confirmation email containing your login details.
You can proceed to login into your dashboard

Welcome to {{name}}