aDMISSIONS

Admission For 0-Level

O-Level Admission Form

Admission For 0’Level

(FILL THIS FORM IN BLOCK LETTERS)

Name *

First

Last

Upload Image *

(Maintain name and order you used for P.L.E.) P.L.E INDEX NO *

Date of Birth *

Sex *

AGE *

RELIGION *

NATIONALITY *

TRIBE *

FORMER SCHOOL *

Attach a photocopy of Baptism Card (if Christian)

Attach a photocopy of P.L.E. Testimonial *

ENGLISH P.L.E RESULTS *

MOCK 1 RESULTS *

MOCK 2 RESULTS

MOCK 3 RESULTS

MATHS P.L.E RESULTS *

MOCK 1 RESULTS *

MOCK 2 RESULTS

MOCK 3 RESULTS

SST P.L.E RESULTS *

MOCK 1 RESULTS *

MOCK 2 RESULTS

MOCK 3 RESULTS

SCIENCE P.L.E RESULTS *

MOCK 1 RESULTS *

MOCK 2 RESULTS

MOCK 3 RESULTS

AGGREGATE P.L.E *

AGGREGATE 1 *

AGGREGATE 2

AGGREGATE 3

DIVISION P.L.E *

DIVISION MOCK1 *

DIVISION MOCK2

DIVISION MOCK3

Any Co-curricular activities e.g leadership/sports/games/MDD (attach certificates of merit)…………. HEALTH: (Mention special defects e.g. eye sight, hearing or any health problems e.g asthma, etc. (attach medical report in case of any defect/health problem ).

Attach Certificate of Merit

Attach Medical Report

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Indicate (RIP) if deceased

FATHER’S NAME *

Tel .No *

NIN *

MOTHER'S NAME *

Tel .No *

NIN *

PHYSICAL HOME ADDRESS

TEL. NO.(RESIDENCE

MOTHER’S PLACE OF WORK

OFFICE TEL. NO

FARTHER’S PLACE OF WORK

OFFICE TEL. NO

PARENTS’ OCCUPATION/DESIGNATION; FATHER

PARENTS’ OCCUPATION/DESIGNATION; MOTHER

GUARDIAN OR NEXT OF KIN’S

Name

Tel No

NIN

GUARDIAN’S OCCUPATION/DESIGNATION

NB

A candidate will be disqualified at any stage if found to have filled/attached any false information to this form.

APPLICANT'S SIGNATURE *

PARENT/GUARDIAN’S SIGNATURE *

Phone