El-anNEXUS ADMISSION FORMName of Child *Surname *Sex *MaleFemaleDate of Birth *Class for which Admission is sought *PREVIOUS SCHOOLName of School *Class passed and result *Please attach a copy *Knowledge of English Language *NoneBasicFluentOTHERSState of Origin *L.G.A *PARENTS' PROFILEName of Parents/Guardians *State of Origin *Residential Address *Phone number(s) Status Religion *Does your child/ward have any medical history that requires special handling? *ATTACHMENTPhotocopy of Birth Certificate *Photocopy of First School Leaving Certificate *Photocopy of Medical Certificate *Childs Blood Group requiredPhotocopy of Last school report/result *It is important to remind all parent and guardians that manipulation of children's age is very detrimental to their academic progress and dishonor to your integrity; you are therefore advised to desist from it.I certify that the information given in respect of my child/ward is correct and that any misleading information noticed should lead to the disqualification if the above named child. *Yes, I agreeNo, I don’t agreePassport VerificationPlease enter any two digits *Example: 12This box is for spam protection – <strong>please leave it blank</strong>:
