Registration No.*:
Surname*:
First Name*:
Other Name:
Date of birth*:
State of origin*:
Sex*:
Residential
Address
*:
Home Town*:
Nationality*:
Last School
Attended
*:
Last Class Attended*:
Transfer Certificate No:
L.G.A*:
PARENT/GUARDIAN INFORMATION
Name*:
Contact Address*:
State*:
Phone No.*:
E-Mail Address*:
Religion*:
Education Level*:
Occupaion*:
Place Of Work*:
HOME BACKGROUND
Father's number of wife*:
Position of mother*:
Number of siblings*:
Position of student among siblings*:
STUDENT BIO DATA
Religion*:
Class:
Division:
Department:
CLASS INFO
Entry session *: