Admission Form Admission Form Name of Applicant * Name of Applicant First First Middle Middle Last Last Gender * Male Female Date of Birth * Home Address * L.G.A of Origin * State of Origin * Nationality: * Last school attended * Present class * Intended class * Father's name Father's name First First Last Last Phone Mother's name Mother's name First First Last Last Phone Residential address * Office/Business address Local Government of Origin Application into: * JSS 1 JSS 2 SSS 1 SSS 2 Submit If you are human, leave this field blank.
