.::| Online Admission Application

New Era Schools Ile-Oluji
......developing the total man

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ONLINE ADMISSION APPLICATION

Personal Information

Note: Fields marked with an asterisk * are required

Surname*

First Name*

Middle Name

Gender*

Date of birth *
( YYYY/MM/DD)

Nationality*

State *

Local Government Area / City*

Height*
(m)
Body Weight*
(kg)

Family Size

Position in Family

Name of last school Attended

Reason for leaving last school attended
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Class to which admission is sought*

Passport *

Image file must not exceed 1MB

Medical Record

Vision*

Hearing*

Speech*

General Vitality*

Disability*

Genotype

Blood Group

Other Medical Information

Parent's Information: One of the parent's information (Either father or mother) must be completed

Father's Name

Father's Occupation

Father's Office Address
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Father's Home Address
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Father's Phone number(s)

Father's Email Address

Mother's Name

Mother's Occupation

Mother's Office Address
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Mother's Home Address
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Mother's Phone number(s)

Mother's Email Address

Guardian's Information

Guardian's Name

Guardian's Occupation

Guardian's Office Address
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Guardian's Home Address
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Guardian's Phone number(s)

Guardian's Email Address

Admission's supporting Document Upload

File must not exceed 2MB [Word/Pdf file type only]