Registration

* Student Name:

* Gender:

Date of Birth:

Religion:

Blood Group: Select Blood Group O+ A+ B+ AB+ O- A- B- AB-

Address:

Phone:

Email:

City:

State:

* Class: Select Class Pre-Nursery Nursery 1 Nursery 2 Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 JSS 1 JSS 2 JSS 3 SSS 1 SSS 2 SSS 3

* Section: Select Section

Father Name:

Father Phone:

Father Occupation:

Mother Name:

Mother Phone:

Mother Occupation: