Admission Form

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Sex

Name

Home Address

Contact Address

Name of School Attended

Age Last Birthday

Date of Birth

Place of Birth

Name of Father

Telephone

Name of Mother

Telephone

Father's Occupation

Mother's Occupation

Religion

Local Government Area

For SS 1 Students Only

Subjects Passed in the JSS 3 Examinations

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2

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4

5

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Subjects to be studied for SSCE Examination

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3

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9

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