Student Admission Form
Please Note that all fields are
required
.
First Name
Surname
Other Names
Phone number
Present Address
Gender
Male
Female
Date Of Birth
School
Class
Parent Title
None
Mr.
Mrs.
Mister.
Mr. & Mrs.
Dr.
Prof.
Fr.
Rev.
Father's First Name
Father's SurName
Mother's Name
Father's Occupation
Mother's Occupation
Contact Address
Telephone number
Email Address
Proceed to Payment
PLEASE NOTE:
You are required to pay an admission fee of
₦ {{ model.number_format(model.schoolitem.price)}}
after filling the form
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SECURE CARD PAYMENT WITH PAYU
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